结肠癌急性梗阻Ⅰ期吻合术中顺行性回肠管状造瘘的应用

目的 探讨结肠癌急性梗阻Ⅰ期吻合术中顺行性回肠管状造瘘的应用可行性.方法 对80例结肠癌急性梗阻患者采取Ⅰ期吻合术中顺行性回肠管状造瘘,并进行回顾性分析.结果 80例患者全部治愈出院,无吻合口瘘、肠瘘、腹腔感染等严重并发症.结论 正确掌握结肠癌急性梗阻的手术时机、灌洗方法,做好围手术期处理,选择顺行性回肠管状造瘘,Ⅰ期切除吻合术是安全可行的.

Abstract：

Objective To investigate the feasibility of application of anterograde tubular ileal fistula in Ⅰ stage anastomosis of colon cancer with acute obstruction. Method Eighty patients of colon cancer with acute obstruction who treated with anterograde tubular ileal fistula in Ⅰ stage anastomosis were analyzed restropectively. Result Clinical observation showed that 80 patients were cured and discharged,no one did occur anastomotic leakage, abdominal abscess,and other serious complications. Conclusion If correctly graspe the timing of operation for colon cancer with acute obstruction,irrigation methods,good perioperative management,select the anterograde tubular ileal fistula, Ⅰ stage resection and anastomosis is safe and feasible.