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结肠手术是最容易引起切口和腹腔感染的手术,有效地术前准备及预防术后感染是结肠手术成败的关键。近年来人们已认识到肠道内厌氧菌对术后感染的重要性。因此,本院自1982年10月起选用灭滴灵和卡那霉素作为预防用药,现总结其效果,并与新霉素组和卡那霉素组进行比较和评价。资料和方法一、病例从1980年1月至1985年4月共88例,计109例次择期性结肠手术,手术类型有巨结肠根治术43例,结肠造瘘关闭术37例,经腹会阴肛门成形术24例,结肠切除吻合术4例,经腹结肠息肉摘除术1例。
Colonic surgery is the most easily incision and abdominal infection surgery, effective preoperative preparation and prevention of postoperative infection is the key to the success or failure of colon surgery. In recent years, people have recognized the importance of anaerobic bacteria in the gut to postoperative infection. Therefore, our hospital since October 1982 with metronidazole and kanamycin as preventive drugs, are summarized in the results, and with neomycin group and kanamycin group for comparison and evaluation. Materials and Methods First, the cases from January 1980 to April 1985 a total of 88 cases, accounting for 109 cases of elective colon surgery, the type of surgery were 43 cases of radical colostomy, colostomy closed 37 cases, perineal perineal Anus angioplasty in 24 cases, 4 cases of colon resection and anastomosis, abdominal colon polyp removal in 1 case.