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目的:总结梗阻性左半结肠癌的治疗经验。方法:回顾性分析43例梗阻性左半结肠癌病例的临床资料。结果:全组43例术中用1%聚维酮碘(povidoneiodine)作肠道灌洗行结肠癌Ⅰ期手术,效果良好,仅有2例出现切口感染,4例术后合并肺部感染,无吻合口漏等严重并发症,术后随访3年,存活率77%。结论:对梗阻性左半结肠癌,术前做好充分准备,术中用1%聚维酮碘灌洗肠道,行结肠癌Ⅰ期手术治疗效果良好、无严重并发症。
Objective: To summarize the experience of treatment of obstructive left colon cancer. Methods: A retrospective analysis of 43 cases of obstructive left colon cancer patients with clinical data. Results: In the group of 43 cases, 1% povidoneiodine was used as intestinal lavage for stage Ⅰ colon cancer. The results were good. Only 2 cases had incisional infection and 4 cases had pulmonary infection. No anastomotic leakage and other serious complications, follow-up 3 years after surgery, the survival rate of 77%. Conclusion: Obstructive left-sided colon cancer is adequately prepared before operation. Intra-operative use of 1% povidone-iodine to lavage the intestinal tract has a good effect on stage Ⅰ colon cancer surgery without serious complications.