开塞露在腹腔镜辅助根治性右半结肠切除术后的应用

Application of Glycerine Enema in the Recovery of Intestinal Function after Laparoscopic Assisted Radical Resection of Right Hemicolectomy

目的:研究开塞露在腹腔镜辅助根治性右半结肠切除术后肠功能恢复中的应用。方法:选取广东医科大学附属医院胃肠外科2015年10月-2017年5月收治的阑尾、盲肠、升结肠及结肠肝曲癌的患者94例,均行腹腔镜辅助根治性右半结肠切除术,按照随机数字表法将患者分成观察组和对照组,各47例。对照组予以常规治疗,观察组于术后12 h加用开塞露。比较两组患者肛门排气时间、排便时间、出院时间及术后并发症发生率。结果:观察组患者肛门排气时间、排便时间、出院时间均短于对照组,差异均有统计学意义(P<0.05);两组术后并发症发生率比较,差异均无统计学意义(P>0.05)。结论:开塞露能够加快腹腔镜辅助根治性右半结肠切除术后肠功能恢复,缩短住院时间,同时安全可靠并不增加吻合口瘘的风险,能够为术后进一步治疗做好准备。

Objective:To study the application of Glycerine Enema in the recovery of intestinal function after laparoscopic assisted radical resection of right hemicolectomy.Method:From October 2015 to May 2017,94 patients with appendicitis,cecum,ascending colon and hepatic flexure carcinoma of colon were selected from the department of gastrointestinal surgery,affiliated Hospital of Guangdong Medical University,all patients underwent laparoscopically assisted radical hemicolectomy,they were divided into observation group and control group according to table of random numbers,47 cases in each group.The control group was given conventional treatment,the observation group was treated the Glycerine Enema at 12 h after surgery.The time of anus exhaust,defecation time,discharge time and postoperative complication rate were compared between two groups.Result:The anus exhaust time,defecation time,discharge time of the observation group were shorter than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences on inpostoperative complications between two groups(P>0.05).Conclusion:Glycerine Enema can accelerate the recovery of intestinal function after laparoscopic-assisted radical resection of right hemicolectomy,shorten hospitalization time,and safe and reliable does not increase the risk of anastomotic fistula,can prepare for further treatment after operation.