改良预防性横结肠袢式造瘘术的应用

Application of modified preventive transverse colon loop ostomy

目的：探讨改良预防性横结肠袢式造瘘术的应用效果。方法收集2004年1月至2011年12月63例行预防性横结肠袢式造瘘术患者的临床资料，其中直肠癌前切除患者34例，盆腔肿瘤17例，宫颈癌12例，分析患者的临床预后。结果36例患者造瘘口愈合后仅留一窦道，15例造瘘口自行愈合，12例造瘘口长期存在。结论改良预防性横结肠袢式造瘘可使大部分患者免除再次开腹手术行肠吻合。

Objective To observe the clinical effect of modified preventative transverse colon loop ostomy. Methods The clinical data of 63 patients with preventative transverse colon loop ostoma from Jan 2004 to Dec 2011were collected,among them,34 patients with rectal cancer underwent anterior resection,17 patients underwent pelvic tumor resection,12 patients underwent uterine cervix cancer re-section. The clinical prognosis was analyzed. Results Transverse colostomy became sinus tract in 36 ca-ses,ostomy closed themselves in 15 cases,ostomy became permanent transverse colostomy in 12 cases. Conclusions The modification of preventative transverse colon loop ostomy can make the major part of patients avoid go back into abdominal cavity to close the stoma.