结直肠漏评分系统在指导直肠癌术后行预防性造瘘中的应用研究

Clinical study on colon leakage score for a protective stoma in rectal cancer surgery

目的 评价结直肠漏评分系统（colon leakage score,CLS）在指导直肠低位前切术（Dixon手术）术后是否行预防性造瘘中的应用价值.方法 以我科接受Di xon手术的73例直肠癌病人为研究对象,通过CLS评分决定是否行预防性造瘘,观察病人术后发生吻合口漏的情况.结果 通过CLS评分决定行预防性造瘘术病人15例,术后仅有1例病人发生吻合口漏.结论 CLS评分系统对直肠癌Dixon手术术后是否需行预防性造瘘具有良好的判断价值.

Objective To evaluate the colon leakage score （CLS） for a protective stoma in rectal cancer surgery. Methods Seventy-three rectal cancer patients undergoing low anterior resection surgery were included in this study. The CLS was used to make a decision of a protective stoma, and the postoperative anastomotic leakage was observed. Results Fifteen patients made a protective stoma according to the CLS, and there was only 1 patient having anastomotic leakage. Conclusions The CLS has a good predictive value to determine the construction of a protective stoma in rectal cancer surgery.