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[目的]探讨在结肠癌择期手术中无常规肠道准备的安全性及可行性。[方法]2009年1月至2011年3月61例行择期结肠切除吻合术的结肠癌患者,随机分成肠道准备组(31例)和无肠道准备组(30例)。术后随访30d,评价切口感染、吻合口瘘及腹腔内脓肿发生情况。[结果]肠道准备组与无肠道准备组术后切口感染、吻合口瘘及腹腔内脓肿发生率,均无统计学差异(P均>0.05)。术后感染性并发症的发生率肠道准备组为22.6%,而无肠道准备组为23.3%(P=0.944)。[结论]在结肠癌的择期手术中,无肠道准备是安全的,肠道准备应该选择性地使用。
[Objective] To investigate the safety and feasibility of routine bowel preparation in elective surgery of colon cancer. [Method] Between January 2009 and March 2011, 61 patients with colon cancer undergoing elective colonic resection and anastomosis were randomly divided into three groups: the intestine preparation group (31 cases) and the non-intestine preparation group (30 cases). The patients were followed up for 30 days to evaluate the incision infection, anastomotic fistula and intraabdominal abscess. [Results] The incidences of incision infection, anastomotic fistula and intraabdominal abscess in intestinal preparation group and non-intestinal preparation group were all significantly different (all P> 0.05). The incidence of postoperative infectious complications was 22.6% in the gut preparation group and 23.3% in the no-gut preparation group (p = 0.944). [Conclusion] In the elective surgery of colon cancer, no bowel preparation is safe, bowel preparation should be selectively used.