腹膜外结肠造口用于低位直肠癌手术的效果观察

Effect of Extraperitoneal Colostomy on Low Rectal Cancer

目的探讨腹膜外结肠造口用于低位直肠癌手术的效果。方法选取2017年1月—2018年1月宜昌市中心人民医院收治的56例低位直肠癌手术作为研究对象,随机分为两组,各28例。对照组应用常规结肠造口术,研究组应用肠膜外结肠造口术,比较术后并发症、不良情绪及生活质量。结果研究组并发症发生几率低于对照组(P<0.05),干预前两组患者SAS、SDS评分比较差异无统计学意义(P>0.05),干预后研究组SAS、SDS评分高于对照组(P<0.05)。干预前两组患者生活质量评分比较差异无统计学意义(P>0.05),干预后研究组高于对照组(P<0.05)。结论低位直肠癌手术手术过程中采取腹膜外结肠造口术可有效提升治疗效果,减少术后并发症发生几率,减少患者不良情绪变化程度,确保患者生活质量提升幅度,应在临床治疗中广泛使用。

Objective To investigate the effect of extraperitoneal colostomy on low rectal cancer.Methods From January 2017 to January 2018,56 patients with low rectal cancer were randomly divided into two groups,28 cases in each group.The control group was treated with routine colostomy,the study group was treated with extraintestinal colostomy,and the postoperative complications,bad mood and quality of life were compared.Results The incidence rate of complications in the study group was lower than that in the control group(P<0.05),and there was no significant difference between the two groups before intervention(P>0.05).After intervention,the SDS score of the study group was higher than that of the control group(P<0.05).There was no significant difference in quality of life score between the two groups before intervention(P>0.05),but quality of life score in the study group was higher than that in the control group after intervention(P<0.05).Conclusion The use of extraperitoneal colostomy during the operation of low rectal cancer can effectively improve the therapeutic effect,reduce the incidence of complications,reduce the degree of adverse emotional changes,and ensure the improvement of the quality of life of the patients.It should be widely used in clinical treatment.