术中肠道灌洗在外伤性左半结肠破裂手术中的应用

目的探讨术中肠道灌洗在外伤性左半结肠破裂手术中的应用价值。方法外伤性左半结肠破裂患者36例,随机分为治疗组和对照组。治疗组术中行肠道灌洗后一期吻合,对照组按传统方法行近端结肠造瘘并吻合,随访6个月至1年,对两缉病例的治疗效果进行对比分析。结果两组并发症发生率、围手术期病死率差异无统计学意义（P〉0．05）,治疗组平均住院日、住院费用均明显低于对照组（P〈0．01）。结论．外伤性左半结肠破裂患者行术中肠道灌洗并一期吻合在临床上是安全可行的。

Applicotion of intraoperative Irrigation of Colon in Traumatic Rupture of Left Hemicolon

Objective To study the effect of intraoperative irrigation in management of traumatic rupture of left hemicolon.Methods 36 traumatic rupture of left hemicolon patients in our hospital were randomly divided into treatment group and control group.The treatment group received primary reparation and intraoperative irrigation of colon,and the control group received colostomy and repair.The therapeutic efficacy were compared between the two groups.Results There were no significant differences in complication rates and perioperative mortality between two groups( P ＞ 0.05 ),and the control group's the average hospitalization day and average hospitalization charge are more than the treatment group( P ＜ 0.01 ).Conclusion Intraoperative irrigation of colon and primary repair is a safe and feasible method for the traumatic rupture of left hemicolon.