Clinical observation of antegrade lavage of intestine in operation of acute intestinal obstruction
ZHANG Li1 YU Linchong2 CHEN Xingyuan3 FAN Xiaohua1 LIANG Xuemin1
1.Department of Anorectal Surgery, Guangdong Province Traditional Chinese Medical Hospital, Guangdong Province, Guangzhou 510120, China;
2. Department of General Surgery, Hospital of Traditional Chinese Medicine of Panyu District, Guangdong Province, Guangzhou 511400, China;
3. Traditional Chinese Medicine University of Guangzhou, Guangdong Province, Guangzhou 510405, China
Abstract：Objective To investigate the clinical effect and safety of colonic lavage in one-stage resection and anastomosis of acute intestinal obstruction. Methods From January 2012 to December 2015, in Department of Anorectal Surgery in Guangdong Province Traditional Chinese Medical Hospital, 60 patiens with acute intestinal obstruction treated were selected and retrospectively analyzed. They were divided into colonic lavage group and convention operation group according to different operation methods, with 30 cases in each group. Patients in the colonic lavage group underwent closed intestinal antegrade cleansing irrigation and stage Ⅰ resection and anastomosis. The convention operation group had no intraoperative lavage, and the other treatment was the same as the colonic lavage group. The incidence of anastomotic leakage, intraoperative infection, abdominal abscess and other complications were recorded and the complication rate were calculated respectively. The operation time and the recovery time for anal exsufflation were observed and recorded. Results Compared with the conventional surgery group, the operation time and the recovery time for anal exsufflation in colonic lavage group were longer, the differences were not statistically significant (P > 0.05); the incidence of anastomotic leakage, intraoperative infection, abdominal abscess and other complications decreased significantly in the colonic lavage group, the differences were statistically significant (P < 0.05); hospitalization time of colonic lavage group were significantly shortened, the differences were statistically significant (P < 0.05). Conclusion "Colonic lavage+Ⅰstage resection and anastomosis" in the treatment of acute intestinal obstruction with satisfactory clinical effect and high safety can reduce the incidence of postoperative complications, and shorten the hospitalization time, it is worthy of further promotion and optimization.
2017, Vol. 14 
京公网安备 11010502046598号