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

Application of two kinds of enterostomy in the treatment of elderly patients with obstructive sigmoid colon cancer and high rectal cancer

目的:探讨老年梗阻性乙状结肠癌及高位直肠癌患者应用不同肠造口手术的临床效果。方法:收治老年梗阻性乙状结肠癌与高位直肠癌患者68例,分为对照组和研究组。对照组采用结肠造口手术,研究组采用回肠袢式造口术,比较两组治疗效果。结果:研究组Ⅰ、Ⅱ期手术排气时间及禁食时间明显短于对照组(P<0.05);研究组Ⅰ、Ⅱ期手术后不良反应发生率均显著低于对照组(P<0.05)。结论:应用回肠袢式造口术可明显降低患者不良反应发生率,缩短术后禁食时间。

Objective:To explore the clinical effect of different enterostomy in the treatment of elderly patients with obstructive sigmoid colon cancer and high rectal cancer.Methods:68 cases of elderly patients were selected,they were divided into the control group and the study group.The control group was treated with colostomy,and the study group was treated with ileostomy,we compared the treatment effect in the two groups.Results:In the study group,the exhaust time in stage I and II and fasting time were significantly shorter than those in the control group(P<0.05).In the study group,the incidence of adverse reactions after operation in stage I and II was significantly lower than that in the control group(P<0.05).Conclusion:Ileostomy can significantly reduce the incidence of adverse reactions and shorten postoperative fasting time.