两种肠造口术在治疗老年梗阻性乙状结肠癌和高位直肠癌中的应用

The application of two enterostomy in gerontal patients with obstructive carcinoma of sigmoid and high rectum

目的:探讨回肠袢式造口术和结肠造口术(Hartmann术)在老年梗阻性乙状结肠癌和高位直肠癌患者治疗中的安全性和有效性。方法:对2008年4月至2013年4月我院术后诊断为乙状结肠癌或高位直肠癌患者的62例患者,分成回肠袢式造口组(甲组)和Hartmann术组(乙组),分析两组患者Ⅰ期和Ⅱ期手术时间、住院时间及术后并发症等指标。结果:甲组Ⅰ期手术术后禁食时间较乙组短(P<0.05),Ⅱ期手术中,甲组手术时间、术后禁食时间和术后住院时间较乙组缩短(P<0.05),术后低血钾的发生率亦较乙组低(P<0.05)。结论:回肠袢式造口术在老年梗阻性乙状结肠癌和高位直肠癌患者治疗的临床应用中具有一定的优势。

Objective To explore the safety and efficacy of loop ileostomy and Hartmann operation in gerontal patients with obstructive carcinoma of sigmoid and high rectum. Methods sixty-two gerontal patients with obstructive carcinoma of sigmoid and high rectum from April 2008 to April 2013 were randomly divided into loop ileostomy group and Hartmann group.The operation time, length of stay and postoperative complications in the two groups were analyzed. Results The time of absolute diet in loop ileostomy group was shorter than that in Hartmann group in Stage I operation（P〈0.05）. The time of operation, absolute diet, and length of stay in loop ileostomy group were shorter than that in Hartmann group in Stage II operation（P〈0.05）. Conclusion The application of loop iloostomy in gerontal patients with obstructive carcinoma of sigmoid and high rectum was safe and effective.