从还纳术中探讨低位直肠癌保肛手术中预防性造口的选择研究

目的:比较横结肠造口还纳术与回肠造口还纳术的疗效。方法:研究对象为我院收治的78例低位直肠癌保肛术患者,采用随机分组法将患者平分为两组,即接受横结肠造口还纳术治疗的对照组(39例)与接受回肠造口还纳术治疗的观察组(39例),对两组手术与术后并发症发生情况进行记录。结果:观察组还纳手术时间与术后首次排气时间均短于对照组,并且术中出血量与不良反应发生例数较对照组少,均存在显著差异(P<0.05)。结论:在低位直肠癌保肛手术患者中应用预防性回肠造口还纳术,可避免患者术后出现腹腔与切口感染等并发症,故值得临床推广。

objective to compare transverse colostomy HaiNa and ileum incision HaiNa curative effect.Method the object of study for our hospital78cases of patients with low rectal cancer confirmed anus surgery,patients divided into two groups by random grouping method,accept transverse colostomy HaiNa treatment of control group(39cases)and accept the ileum colostomy HaiNa observation of treatment group(39cases),on two groups of surgery and postoperative complications in this record.Results observation group HaiNa operation time and postoperative exhaust time is shorter than the control group,for the first time and intraoperative blood loss and less adverse reactions occurred more cases than the control group,there were significant differences(P<0.05).Conclusion in patients with low rectal cancer anal surgery applied preventive ileum colostomy HaiNa,and can be avoided in patients with postoperative abdominal incision infection complications,so it is worth clinical promotion.