保留回盲肠瓣一期手术治疗左半结肠癌急性梗阻的疗效

[摘要] 目的 研讨保留回盲肠瓣一期手术治疗左半结肠癌急性梗阻的可行性及临床疗效。 方法 选取本院2010年8月～2011年12月收治的左半结肠癌发生急性肠梗阻的患者46例，随机分为两组，甲组患者22例，采用保留回盲肠瓣一期手术治疗；乙组患者24例，采用不保留回盲瓣一期手术治疗。对比分析两组患者的术后疗效及并发症发生情况。 结果 两组患者术后肠梗阻情况均得到不同程度的缓解，甲组患者疗效显著，与乙组患者疗效对比，差异有统计学意义（P < 0.05）。甲组患者术后并发症的发生率显著低于乙组患者，差异有统计学意义（P < 0.05）。 结论 依据患者的情况，采用保留回盲肠瓣一期手术进行治疗左半结肠癌急性梗阻的疗效较好，有利于术后肠道血运恢复，有利于术后患者的康复。

[关键词] 保留回盲瓣；一期手术治疗；左半结肠癌；急性肠梗阻；临床疗效

[中图分类号] R735.3+5 [文献标识码] A [文章编号] 1674—4721（2012）09（c）—0029—02

Effect of retention of ileocecal flap in one stage operation for the treatment of left colon cancer with acute obstruction

YANG Jun WANG Zhiqiang MO Yabing CAO Wenqing DENG Chongwen XIE Li ZOU Bin

Department of General Surgery， the Central Hospital of Loudi City in Hu′nan Province， Loudi 417000， China

[Abstract] Objective To study the feasibility and clinical effect of retention of ileocecal flap operation for the treatment of left colon cancer with acute obstruction. Methods Forty—six cases of left colon cancer with acute obstruction in our hospital from August 2010 to December 2011 were randomly divided into two groups， 22 patients of group A were given preservation of the ileocecal valve in one stage operation for treatment， 24 patients of group B were not given preservation of the ileocecal valve in one stage operation for treatment. The curative effect and the complication of two groups of patients in postoperative were compared and analyzed. Results The condition of intestinal obstruction of two groups of patients were obtained with different degree of ease， compared with the curative effect of group B， there was statistical significance （P < 0.05）. The incidence of postoperative complications of group A was significantly lower than that of group B， there was significant difference with statistical significance （P < 0.05）. Conclusion According to the condition of patients， the use of retention of ileocecal flap in one stage operation for the treatment of left colon cancer with acute obstruction is better， it has the benefit of the intestinal blood flow restoration and rehabilitation of patients in postoperative.

[Key words] Retention of ileocecal flap； One stage operation； Left colon cancer； Acute obstruction； Clinical curative effect

近年来，伴随人们生活环境的污染，结肠癌的发病率不断呈上升的趋势。在临床上主要采取的治疗方式是进行手术治疗，但依据结肠癌的部位不同，其手术切除的部位，及所引起的并发症、预后效果也不相同[1]，但大多数患者预后情况较为不满意，为更好地进行手术切除治疗，现选取本院2010年8月～2011年12月收治的左半结肠癌发生急性肠梗阻的患者46例，对其采用不同的手术治疗方案，对其临床疗效进行统计和分析，现将结果报道如下：

1 资料与方法

1.1 一般资料