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目的探讨Hartmann术式和支架植入手术切除一期吻合术式治疗左半结肠癌并肠梗阻的临床疗效差异。方法 150例左半结肠癌并肠梗阻患者随机分为对照组和观察组,各75例,分别采用Hartmann术式和支架植入手术切除一期吻合术式治疗,比较两组患者临床受益评分,术后肛门排气时间、住院时间、术后并发症发生情况、术后转移率及5年生存率等。结果观察组患者临床受益评分显著高于对照组,差异有统计学意义(P<0.05);观察组患者住院时间显著短于对照组,差异有统计学意义(P<0.05);两组患者术后肛门排气时间、并发症发生率比较差异无统计学意义(P>0.05);观察组患者术后转移率显著低于对照组,差异有统计学意义(P<0.05);两组患者5年生存率比较差异无统计学意义(P>0.05)。结论支架植入手术切除一期吻合术式治疗左半结肠癌并肠梗阻可有效提高临床受益评分,加快术后康复进程,并降低术后转移风险,疗效优于Hartmann术式。
Objective To investigate the clinical efficacy of Hartmann’s surgery and stent implantation in the treatment of left-sided colon cancer and intestinal obstruction. Methods A total of 150 patients with left colon cancer and intestinal obstruction were randomly divided into control group and observation group, 75 cases in each group. Hartmann operation and stent implantation operation were performed respectively. The clinical benefit score, Postoperative anal exhaust time, hospital stay, postoperative complications, postoperative metastasis rate and 5-year survival rate. Results The clinical benefit score of the observation group was significantly higher than that of the control group (P <0.05). The hospitalization time of the observation group was significantly shorter than that of the control group (P <0.05) (P> 0.05). The postoperative metastasis rate of the observation group was significantly lower than that of the control group, the difference was statistically significant (P <0.05). The incidence of postoperative anal exhaust time, complication rate was no significant difference (P> 0.05) There was no significant difference in annual survival rate (P> 0.05). Conclusion The one-stage anastomosis with stent implantation can effectively improve the clinical benefit score, accelerate the postoperative rehabilitation process and reduce the risk of postoperative metastasis. The curative effect is better than that of Hartmann’s method.