回肠造瘘口还纳术的术后并发症分析

The Analysis of Postoperative Complications of Loop Ileostomy Closure in Patients with Rectal Tumor

目的探讨回肠造瘘口还纳术的术后并发症情况及危险因素分析。方法选取本院186例直肠癌患者在行根治性直肠前切除术并一期预防性末段回肠造瘘术后,同时行造瘘口还纳术的患者,分析其临床特征、术后并发症情况以及引起并发症的危险因素。结果术后并发症的发生率为22.58%,尿潴留是最常见的术后并发症,发生率为8.6%;其次为大便次数增多(4.8%)。男性、高BMI指数、糖尿病、放化疗史及较长的手术时间是造瘘口还纳术出现术后并发症的危险因素。结论低位直肠癌根治术合并一期预防性造瘘术的患者接受造瘘口还纳术是一项常规的手术,但需要通过甄别临床相关的危险因素,设法提前干预以降低手术并发症的发生率。

Objective To investigate the postoperative complications and risk factors of loop ileostomy closure.Methods A total of 186 patients,who were diagnosed with rectal caner,underwent radical resection of rectal carcinoma with preventive colostomyand received loop ileostomy closure,were retrospectively analyzed.The clinical features,complications and risk factors were studied.Results The incidence of postoperative complications was 22.58%,and urinary retention was the most common complication,with an incidence of 8.6%,which was followed by an increase in the number of bowel movements(4.8%).Men,high BMI,diabetes mellitus,history of chemora diotherapy and long operation time were risk factors for postoperative complications of the operation.Conclusion Loop ileostomy closure is a routine operation,but it is necessary to identify clinically relevant risk factors and try to intervene in advance to reduce surgical complications.