回肠袢式造口术在老年梗阻性直乙状结肠癌患者中的应用

The Application of Loop Ileostomy Loop Ileostomy in Gerontal Patients with Obstructive Rectosigmoid Colon Cancer

目的探讨回肠袢式造口术在老年梗阻性直乙状结肠癌患者治疗中的安全性和有效性。方法对2005年1月到2010年1月的50例梗阻性直乙状结肠癌患者分成回肠袢式造口组和哈特曼组,分析两组患者手术时间及术后并发症等。结果回肠袢式造口组的手术时间和术后首次排气时间较哈特曼组缩短(P<0.05),而术后并发症的发生率较哈特曼组无明显增高(P>0.05)。结论回肠袢式造口术在老年梗阻性直乙状结肠癌中是安全有效的。

Objective To explore the safety and efficacy of loop ileostomy in gerontal patients with obstructive rectosigmoid colon cancer.Methods Fifty gerontal patients with obstructive rectosigmoid colon cancer from January 2005 to January 2010 were randomly divided into loop ileostomy group and Hartmann group.The operation time and postoperative complications in the two groups were analyzed.Results The time of operation and first passing gas after operation in loop ileostomy group was shorter than that in Hartmann group（P〈0.05）,but the incidence of postoperative complications in loop ileostomy group had no obvious increase compared with the Hartmann group（P〈0.05）.Conclusions The application of loop ileostomy in gerontal patients with obstructive rectosigmoid colon cancer is safe and effective.