肛门减压管在低位直肠癌保肛患者中的应用

Application of anal vacuum tube in patients with low rectal cancer

目的对肛门减压管在低位直肠癌保肛患者中的应用进行探讨。方法回顾性分析本院2003年1月～2011年12月进行低位直肠癌保肛手术的96例患者的临床资料,随机将96例患者划分为对照组和观察组,两组患者在全部肿瘤切除后直接行盆内吻合。对两组患者术后大便污染床单次数、术后吻合口瘘、肛周皮肤受损病例以及肛门排气时间进行比较。结果观察组患者未出现吻合口瘘,对照组有1例出现吻合口瘘患者。对照组和观察组肛门排气时间为(28.42±7.22)h、(23.20±12.24)h;大便污染床单出现的例数为22例和6例;肛门受损患者为14例和5例,两组差异有统计学意义。结论在低位直肠癌保肛患者中的应用肛门低压管,不仅有着相对较强的可行性,而且操作方法简单易行,有助于患者功能的尽快恢复。

Objective To discuss the application of anal vacuum tube in the patients with low rectal cancer. Methods The clinical materials of 96 cases of low rectal cancer patients in the hospital from January 2003 to December 2011 were retrospectively analyzed, and the 96 cases of patients were randomly divided into the control group and observa- tion group. Both of the two groups＂ patients conducted basin agreement directly after the all tumors removal. The post- operative stool contaminated linens frequency, postoperative anastomotic fistula, perianal skin damage cases and anal exhaust time of the two groups were compared. Results No anastomotic leaks were found in the observation group, while 1 case in the control group. The average anus exhaust times of the control group and observation group were （28.42±7.22） h, （23.20±12.24） respectively; the postoperative stool contaminated linens frequencies were 22 cases and 6 cases; perianal skin damage were 14 cases and 5 cases. The obviously statistical significance was observed between the two groups. Conclusion To take the anal vacuum tube in the patients with low rectal cancer will not only has a relatively strong feasibility and a simple method of operation , but can h^ip patients＂ function resumed as soon as pos- sible.