预防性T形肠造口术的应用观察

Applications of preventive T-shaped enterostomy

分析F12005年1月至2012年4月78例行预防性肠造口术患者的临床资料，其中采用传统预防性肠造口术52例（A组）、预防性T形肠造口术26例（B组），造口回纳局限于腹壁不需进入腹腔．A组与B组的造口同纳手术时间分别为（98±16）和（52±9）min，住院时间分别为（15．3±5．2）和（9．5±2．3）d（均P〈0．05）．提示，预防性T形肠造口的手术方式可靠，具有造口回纳手术创伤小、恢复快等优点，有一定的临床应用价值。

To apply preventive T-shaped enterostomy in protective defunctioning stoma. Technique of enterostomy closure was only made in abdominal wall rather than abdominal cavity. A total of 78 patients undergoing protective ostomy from January 2005 to April 2012 were divided into two groups of routine enterostomy （group A, n = 52） and protective T-shaped enterostomy （ group B, n = 26）. The length of operation and average hospital stay in group A with stoma closure were （ 98 ± 16 ） rain and （ 15.3 ± 5.2 ） days while those of group B （52 ± 9） min and （9.5 ± 2. 3） days. The inter-group differences were statistically significant respectively （P 〈 0. 05 ）. Therefore protective T-shaped enterostomy, showing advantages in operative skills, operative trauma and postoperative recovery time, is an effective technique and its application should be further promoted.