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目的:探讨一种肠道准备大清的术中补救措施,以便提高结直肠癌手术的安全性。方法:游离肠系膜后,术者用中指和食指夹住拟切除肠段以下的大肠肠壁,自远而近滑行,彻底将肠内容物排入该肠段内,用二把紧靠的直钳钳夹下切端,暂不切断;同样方法将拟切除肠段以上的肠内容物自近而远推挤入该肠段内,并钳夹上端,然后切断上、下端,移去充满粪液的切除肠段。远侧及近侧段肠内注入PVP碘等处理后再作吻合。结果:使用本法作术中补救措施,38例患者均作一期肠切除吻合,未发生吻合口瘘及切口感染。结论:本法可作为结直肠癌病人术前肠道准备欠清洁时的术中补救方法。
Objective: To explore an intraoperative remedy for bowel preparation to improve the safety of colorectal cancer surgery. Methods: After free mesentery, the surgeon clamped the large intestine wall below the intestine segment with the middle finger and index finger, and glided from far and near. The contents of the intestines were completely discharged into the intestine segment. Two close-coupled straight clamps were used. The lower end of the jaws is not cut off; in the same way, the contents of the intestine above the segment of the intestine are pushed into the segment of the intestine from near and far, and the upper end is clamped, then the upper and lower ends are cut off and the full of manure is removed. Remove the intestine. The anastomosis was performed after the distal and proximal segments were infused with PVP iodine. RESULTS: Using this method as an intraoperative remedy, 38 patients underwent one-stage bowel resection and anastomosis. No anastomotic fistula or incision infection occurred. Conclusion: This method can be used as an intraoperative remedy for colorectal cancer patients who have poor preoperative bowel preparation.