[1]陈新岐,李瑞平,李力波,等.结肠癌行扩大左半结肠切除术中不同吻合方式的疗效比较[J].新乡医学院学报,2018,35(5):393-395.[doi:10.7683/xxyxyxb.2018.05.009]
　CHEN Xin-qi,LI Rui-ping,LI Li-bo,et al.Comparison of the curative effect of enlarged left hemicolectomy with different coloproctostomy in patients with colon cancer[J].Journal of Xinxiang Medical University,2018,35(5):393-395.[doi:10.7683/xxyxyxb.2018.05.009]
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结肠癌行扩大左半结肠切除术中不同吻合方式的疗效比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
35
期数:
2018年5
页码:
393-395
栏目:
临床研究
出版日期:
2018-05-05

文章信息/Info

Title:
Comparison of the curative effect of enlarged left hemicolectomy with different coloproctostomy in patients with colon cancer
作者:
陈新岐; 李瑞平; 李力波; 蔡永昌
（东莞市人民医院普通外科，广东　东莞　523059）
Author(s):
CHEN Xin-qi; LI Rui-ping; LI Li-bo; CAI Yong-chang
（Department of General Surgery，Dongguan People′s Hospital，Dongguan 523059，Guangdong Province，China）
关键词:
扩大左半结肠切除术; 结肠直肠吻合术; 结肠癌
Keywords:
enlarged left hemicolectomy; coloproctostomy; colon cancer
分类号:
R735.3
DOI:
10.7683/xxyxyxb.2018.05.009
文献标志码:
A
摘要:
目的　比较结肠癌行扩大左半结肠切除术中不同吻合方式的临床效果。方法　选择2010年9月至2017年10月于东莞市人民医院行扩大左半结肠切除术的结肠癌患者57例，根据结肠直肠吻合方式分为观察组（n=36）和对照组（n=21），观察组患者术中吻合方式为经小肠系膜于小肠后行结肠直肠吻合术，对照组患者术中吻合方式为小肠前结肠直肠吻合术，对2组患者的手术时间、术中出血量、术后排气时间、术后排便时间、住院时间、住院费用及术后并发症进行比较。结果　2组患者手术时间、术中出血量及术后排便时间比较差异无统计学意义（P>0.05）；观察组患者术后排气时间、住院时间显著短于对照组，住院费用显著少于对照组（P<0.05）。对照组患者术后发生吻合口瘘3例（14.3%），肠梗阻7例（33.3%），术后5 d腹痛10例（47.6%）；观察组患者术后发生肠梗阻2例（5.6%），术后5 d腹痛6例（16.7%）；观察组患者术后肠梗阻发生率、吻合口瘘发生率及术后5 d腹痛发生率均低于对照组（P<0.05）。结论　结肠癌行扩大左半结肠切除术中采用经小肠系膜于小肠后结肠与直肠吻合的方式有利于患者术后肠功能恢复，降低术后并发症发生率，缩短住院时间，节约住院费用。
Abstract:
Objective　To compared the clinical effect of enlarged left hemicolectomy with different coloproctostomy in patients with colon cancer.Methods　A total of 57 patients with colon cancer who underwent enlarged left hemicolectomy in Dongguan People′s Hospital from September 2010 to October 2017 were selected.The patients were divided into observation group（n=36） and control group（n=21） according to colorectal anastomosis.The patients in the observation group were treated with the coloproctostomy at the back of small intestine through mesenteriolum，and the patients in the control group were treated with the coloproctostomy in front of small intestine.The operation time，intraoperative bleeding，postoperative anus exhaust time，postoperative defecation time，hospitalization time，hospitalization cost and postoperative complications were compared between the two groups.Results　There was no significant difference in the operation time，intraoperative bleeding and the postoperative defecation time between the two groups （P>0.05）.The postoperative anus exhaust time and hospitalization time in the observation group were significantly shorter than those in the control group，and the hospitalization cost was significantly less than that in the control group （P<0.05）.There were 3（14.3%） cases of anastomotic stoma fistula，7（33.3%） cases of intestinal obstruction and 10（47.6%） cases of abdominal pain after operation in the control group.There were 2（5.6%） cases of intestinal obstruction and 6（16.7%） cases of abdominal pain after operation in the observation group.The incidences of postoperative intestinal obstruction，anastomotic stoma fistula and abdominal pain within 5 days after operation in the observation group were significantly lower than those in the control group （P<0.05）.Conclusion　The coloproctostomy at the back of small intestine through mesenteriolum in enlarged left hemicolectomy can help the postoperative recovery of intestinal function，reduce the incidence of postoperative complications，shorten the hospitalization time and save the hospitalization cost.

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更新日期/Last Update: 2018-05-05