Feasibility study of stage Ⅰ resection and anastomosisfor left colon cancer complicated with acute intestinal obstruction
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摘要:目的 分析对左半结肠癌合并急性肠梗阻患者行Ⅰ期切除吻合术治疗的可行性。方法 对本院收治的46例左半结肠癌合并急性肠梗阻患者的临床资料进行回顾性分析, 将其中采用分期手术治疗的23例患者设为对照组，将其中采用Ⅰ期切除吻合术治疗的23例患者设为实验组，观察并记录2组治疗效果。结果 实验组手术时间、胃肠功能恢复时间、住院时间均短于对照组(P < 0.05); 2组淋巴结清除数量、腹腔感染、吻合口漏等并发症发生率比较差异无统计学意义(P>0.05); 2组切口感染、总并发症发生率比较，差异有统计学意义(P < 0.05)。结论 Ⅰ期切除吻合术治疗左半结肠癌合并急性肠梗阻安全可行，能减轻患者痛苦，缩短患者住院时间，提高患者生活质量。Abstract:Objective To analyze the feasibility of stage Ⅰ resection and anastomosis for left colon cancer with acute intestinal obstruction.Methods The clinical data of 46 patients with left colon cancer complicated with acute intestinal obstruction were retrospectively analyzed, among whom 23 treated by staged operation were as control group, and the rest 23 patients treated by stage Ⅰ resection and anastomosis were as experimental group. The therapeutic effect was recorded.Results The operation time, time to recovery of gastrointestinal function and hospitalization time in the experimental group were shorter than that in the control group (P < 0.05). There were no significant differences in the number of lymph node clearance, the incidence of complications such as abdominal infection and anastomotic leakage between the two groups (P>0.05). Significant differences in incision infection and total incidence of complications between the two groups were observed(P < 0.05).Conclusion Stage Ⅰ resection and anastomosis is safe and feasible in the treatment of left colon cancer complicated with acute intestinal obstruction, which can relieve the pain of patients, shorten the hospitalization time and improve the quality of life.
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表 1 2组手术及术后恢复情况比较(x±s)
组别 n 手术时间/h 淋巴结清除数量/枚 胃肠功能恢复时间/d 住院时间/d 实验组 23 3.7±0.8* 12.8±1.2 3.4±1.0* 17.8±2.2* 对照组 23 5.5±1.0 13.0±1.3 5.8±1.4 26.7±2.0 与对照组比较, *P < 0.05。 
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表 2 2组并发症发生情况比较[n(%)]
组别 n 腹腔感染 吻合口漏 切口感染 总计 实验组 23 1(4.35) 1(4.35) 2(8.70)* 4(17.39)* 对照组 23 1(4.35) 1(4.35) 1(4.35) 3(13.04) 对照组比较, *P < 0.05。
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