回肠造口术和盲肠造口术的比较

Comparison and Selection Between Cecostomy and Ileostomy

目的比较回肠造口术和盲肠造口术的利弊。方法对回肠造口术25例、盲肠造口术12例的手术适应证、并发症和术后转归进行对比分析。结果回肠造口术操作简单,粪便转流彻底,并发症发生率为28%;造口关闭手术简单,无并发症。盲肠造口术操作稍难,并发症发生率为50%(包括2例粪便转流不完全);造口关闭手术较复杂,并发肠瘘1例(17%)。结论一般情况下应选用回肠造口术作为粪便转流。若升结肠或结肠脾曲肿瘤巨大伴局部浸润或当时条件有限,无法切除病灶,可考虑行盲肠造口术。

Objective To compare the merits and the shortcomings of cecostomy and ileostomy. Methods Patients received cecostomy or ileostomy were analised retrospectively. Comparison was made between the groups regarding the indication, difficulty, morbidity and the postoperational outcomming of the stoma. Results Ileostomy was simple, with low morbidity（28%）. The closure of stoma was easy and had less morbidity. Cecostomy was not simple with more complications（50%）. The closure of stoma wad difficult and had complications（17%）. Conclusion Generally we should select ileostomy for the divertion of fecel. But if the tumor in ascending colon is too large and has invased surrounding areas or in some other conditions it can＇t be resected, the cecostomy can be used.