一期切除吻合术对结、直肠癌合并肠梗阻的影响

刘栋 张曰涛 陈秋楠

[摘要]目的 探讨结、直肠癌并肠梗阻一期切除吻合的治疗体会。方法 选取我院2018年4月～2019年1月收治的50例结、直肠癌并肠梗阻患者作为研究对象，按照随机数字表法分为观察组（25例）和对照组（25例）。对照组采用一期切除二期吻合术进行治疗，观察组采用一期切除与一期吻合术进行治疗，比较两组的术后并发症总发生率、花费状况和住院次数。结果 观察组的花费状况少于对照组，差异有统计学意义（P<0.05）;观察组的住院次数少于对照组，差异有统计学意义（P<0.05）;两组的术后并发症总发生率比较，差异无统计学意义（P>0.05）。结论  结、直肠癌并肠梗阻患者采用一期切除和一期吻合术治疗，未明显增加术后并发症，且手术治疗费用较低，住院次数较少，在实际临床中的应用价值较高。

[关键词]结、直肠癌;肠梗阻;一期切除吻合;手术费用;住院次数;并发症

[中图分类号] R735.3          [文献标识码] A          [文章编号] 1674-4721（2020）6（b）-0093-03

[Abstract] Objective To investigate the treatment experience of one-stage resection and anastomosis on colorectal cancer with intestinal obstruction. Methods A total of 50 patients with colorectal cancer and intestinal obstruction admitted to our hospital from April 2018 to January 2019 were selected as the study subjects， and they were divided into the observation group （25 cases） and the control group （25 cases） according to the random number table method. The control group was treated with one-stage resection and second-stage anastomosis. The observation group was treated with one-stage resection and one-stage anastomosis. The total incidence of postoperative complications， speeding status and the number of hospitalizations were compared between the two groups. Results The speeding status in the observation group was less than that of the control group， the difference was statistically significant （P<0.05）. The number of hospitalizations in the observation group was less than that of the control group， and the difference was statistically significant （P<0.05）. There was no significant differcne in the total incidence of postoperative complications between the two groups （P>0.05）. Conclusion The patients with colorectal cancer with intestinal obstruction treated with first stage resection and first stage anastomosis， which is not significantly increase the postoperative complications， and the cost of surgical treatment is low， the number of hospitalization is less， so the application value in clinical practice is higher.

[Key words] Colorectal cancer; Intestinal obstruction; One-stage resection and anastomosis; Operating costs; Number of hospitalizations; Complications

結、直肠癌是常见的消化道恶性肿瘤，临床发生率较高，其是我国恶性肿瘤中致死率比较高的疾病。近年来，结、直肠癌的临床发病率逐渐上升，且发病趋于老龄。本病多发于50岁以上，年轻患者多为家族遗传或者其他疾病引发，男性发病率较女性高[1]。结、直肠癌多发于直肠和直肠与乙状结肠交接处，发病部位较低，但在腹腔深处，相对解剖关系也较复杂。手术是结、直肠癌目前主要的治疗方式，但在手术治疗后病情易复发，且并发症发生率也较高，因此预后状况较差。……