探讨腹膜外结肠造口预防造口旁疝的临床价值

Study on Clinical Significance of Extraperitoneal Colon Stoma in Preventing Parastomal Hernia

目的探讨腹膜外结肠造口预防造口旁疝的临床价值。方法方便选取2012年1月—2016年1月期间在该院确诊的50例直肠癌患者作为该调查对象,根据治疗方法差异对患者进行分组,观察组与对照组各25例。对照组按照传统方法造口(经腹造口);观察组患者进行腹膜外结肠造口,比较两组患者的治疗效果。结果在手术时间、术中出血、术后肛门排气时间等资料上比较差异无统计学意义(P>0.05),但观察组患者的造口旁疝发生率显著低于对照组,组间差异具有统计学意义(P<0.05)。结论腹膜外结肠造口可有效预防造口旁疝的发生,对改善患者预后意义显著。该种方法可在临床上进行推广应用,以帮助更多患者受益。

Objective To discuss the clinical significance of extraperitoneal colon stoma in preventing parastomal hernia.Methods 50 cases of patients with rectal cancer diagnosed in our hospital from January 2012 to January 2016 were selected as the survey object and divided into two groups according to the different treatment methods with 25 cases in each, the control group were treated with traditional stoma method（transabdominal stoma）, the observation group were treated with extraperitoneal colon stoma, the treatment effects of the two groups were compared. Results There was no statistical difference in data such as the operation time, intraoperative blood loss, postoperative anus exhaust time P〉0.05, but the incidence rate of parastomal hernia in the observation group was obviously lower than that in the control group, and there was statistical significance between groups, P〈0.05. Conclusion The extraperitoneal colon stoma can effectively prevent the occurrence of parastomal hernia, and it is of obvious significance to the improvement of the prognosis in patients, which can be promoted and applied in clinic to benefit more patients.