瘘口灌注提高直肠癌术后患者生存质量的临床研究

Clinical Study of Postoperation Life Quality of Patients with Rectal Cancer after Treating with Fistula Lavation

本文通过对１０例低位直肠癌术后患者采用经瘘口灌洗束带加压法加快恢复结肠形成排便节律进行了研究，并与未灌洗的１６例进行了对照观察。结果表明，两组有显著性差异（ｔ＝６．３，Ｐ＜０．００１）。为了评价这类病人术后生存质量的优劣，作者分别对２６例术后心灵创伤病人的二项心理变化（自卑、意志低沉和孤独，人际关系恶化）进行了调查比较。前者无差异（Ｐ＞０．０５），后者有差异（Ｐ＜０．０５）。灌洗组病人没有参与社会人际交往的恐惧感，在工作及联系上无障碍，其生存质量较对照组有明显的改善和提高。

A group of 10 cases of postoperation for lower-positioned rectal cancer underwent lavation through artificiat fistula and girdle press to regain regularity of colonic defecation. The results showed that this group differed significantly from the control group of 16 non-lavaged casses(t<0. 001). In order to assess postoperative life quality for the rehabilities, all 26 postoperative cases were investigated and compared by two items of psychological change: one was self--abasement,mental depression loneliness and the other was poor sociality. There was no difference for the first item(P>0. 05)but difference for the second(P < 0. 05 ) between the two groups. The cases showed no fear or restlessness in social life and no mental obstacle in work. And their life quality had been greatly improved as compared with the non-lavaged ones.