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題名 | Effectiveness of Colon Preparation in Patients with Colorectal Malignancies=結腸直腸惡性腫瘤患者的結腸準備效果 |
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作者姓名(中文) | 許自齊; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 29:4 民85.07-08 |
頁次 | 頁316-319 |
分類號 | 416.245 |
關鍵詞 | 結腸直腸惡性腫瘤; 結腸準備效果; Colon preparation; Malignancy; Effectiveness; |
語文 | 英文(English) |
中文摘要 | 這是使用修正Cond0n及Nichols的結腸準備法的六年經驗的回溯報告。只 有患有結腸直腸惡性腫瘤,同時在手術中做了腸道細菌培養的病例才包括在內。 緊急手術、有結腸阻塞、結腸穿孔及腹膜炎的患者均排除在外。共有362位患者 接受了一天的結腸準備,這些準備包括了:手術前一天飲用流質飲食、服用瀉劑、 口服紅黴素及新黴素,及多次灌腸。手術中在切斷腸道後馬上做腸道細菌培養。 培養結果顯示無菌種培養出的有I86位患者(51.38),培養出不同的細菌的有176位 患者。而只培養出一種菌種的患者佔最多,共有87位患者。在結腸準備效果良好 的病例,有53.33培養不出細菌,在結腸準備效果差的病例,只有11.76培養不出 細菌。這一系列的經驗支持完整的機械性清腸,配合適當的抗生素,可以使一半 病例的大腸培養不出細菌,但是手術中謹慎小心的操作,同時避免污染,仍是減 少結腸直腸手術後感染之最重要步驟。 |
英文摘要 | This is a retrospective study of a six-year experience of modified CondonNichols bowel preparation. Only patients with colorectal malignancies whoreceived bowel content culture were analysed. Excluded from the studywere patients with emergency surgery, colon obstruction, colon perforationand peritonitis. Three hundred and sixty-two patients underwent one-daybowel preparation with clear liquid diet, laxatives, oral antibiotics (erythromycin and neomycin) and enemas. Cultures were taken after bowels weretransected. The cultures were reposted as "no growth" in 186 patients (51.38); 176 patients had different types of bacteria cultured, with one type ofbacterium most frequently seen (87 patients). No bacteria were cultured in53.33 of the well-prepared colon. Only 11.76 of the poorly-prepared colonshowed negative culture. This series supports that vigorous mechanicalcleansing with appropriate oral antiseptics can sterilize colon in half of thecases treated. However, different bacteria are still present in the colon inhalf of all cases. Meticulous handling of the bowel and careful avoidance ofcontamination are still a gold standard to decrease postoperative infection3.fter colorectal surgery. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。