直肠癌切除后经肛周盆底引流的应用

Trans-crissum Draining of Pelvic Cavity after Miles' Intervention for Rectal Carcinoma

目的探讨直肠癌切除术后经肛周盆底引流方式的应用效果。方法对165例直肠癌切除后随机分为观察组85例和对照组80例,观察组采用经腹部腹膜外盆腔引流方式,对照组采用经肛周盆底引流方式,比较两组患者的引流效果。结果观察组和对照组比较,会阴部切口Ⅰ期愈合率、感染率、住院时间无明显差异;但观察组引流时间较对照组明显缩短。结论直肠癌切除后经肛周盆底引流可以减少引流时间,对切口的愈合率和感染率没有明显的影响,值得进一步探讨应用。

Objective To explore the clinical effect of different routes of trans-crissum draining of pelvic cavity after Miles＇intervention for rectal carcinoma. Methods 165 patients with rectal carcinoma were divided into two groups： the observed group（n = 85）and the control group（ n = 80）,the trans-erissum draining of pelvic cavity method was used in the observed group and the trans-abdominal extraperi- toneal draining methods was used in the control group. To compare the clinical effect between this two groups. Results There were no significant difference between two groups in primary healing rate, infection rate, and length of stay（ P 〉 0.05 ）. But there was singnifieant difference in draining time between the observed group and the control group （P 〈 0.05）. Conclusion The trans-crissum draining of pelvic cavity after Miles＇intervention for rectal carcinoma have no influence on the primary healing rate, infection rate, and length of stay and decrease the draining time,this method is woth advanced study and application.