晚期直肠癌姑息造口方式探讨

Investigation on Pattern of Palliative Sigmoid Colostomy in Advanced Rectal Carcinoma

目的:探讨不能切除晚期直肠癌的合理造口方式。方法:回顾性分析2002～2010年收治的11例不能切除晚期直肠癌行乙状结肠造口治疗的临床资料。结果:7例行乙状结肠单腔造口,出现4例直肠残端瘘,经再次手术,3例康复出院,1例因严重感染死亡;2例行乙状结肠袢式造口,2例行乙状结肠双腔造口,均康复出院。结论:乙状结肠双腔造口术是不能切除晚期直肠癌合理的姑息造口方式。

Objective：To explore the reasonable pattern of sigmoid colostomy on the patients with unresectable advanced rectal carcinoma. Methods：The clinical data of 11 cases with unresectable advanced rectal cancer treated with sigmoid eolostomy from 2002 to 2010 in our hospital were retrospectively analyzed. Results：There are 4 cases of rectal stump fistula in 7 cases with single lumen sigmoidostomy, 3 patients recovered and 1 patient died of severe infection after reoperation; 2 patients of sigmoid loop colostomy and 2 patients of double lumen sigmoidostomy were recovered. Conclusions： Double lumen sigmoidostomy for unreseetable advanced eolorectal cancer is reasonable palliative treatment.