摘要
目的探讨预防性横结肠造瘘对直肠低位前切除术(LAR)吻合口瘘(AL)发生率的影响。方法回顾分析312例行直肠LAR的中下段直肠癌手术患者的临床资料,采用Fisher确切概率法对比分析行预防性横结肠造瘘对AL发生的影响。结果63例行预防性横结肠造瘘的直肠LAR发生AL有2例(3.2%),249例未行该造瘘的发生AL有21例(8.4%),两者无统计学差异(P>0.05)。结论直肠LAR行预防性横结肠造瘘并不能有效地降低AL的发生率,且行预防性造瘘者,均需再次手术关瘘。
Objective To study the impact of preventive transverse colostomy on anastomotic leakage （ AL ） of low rectal anterior resection （ LAR ） . Methods A retrospective analysis on clinical data of 312 cases of middle and lower rectal cancer patients who underwent LAR at the Department of General Surgery, the Second Clinical School of Medicine, Shanxi Medical University was conducted using Fisher exact test to comparatively analye the impact of preventive transverse colostomy on AL following LAR. Results There was no statistical difference （ P 〉 0.05 ） between the AL rate following LAR with or without preventive transverse colostomy （ 2/ 63, 3.2% vs. 21/249, 8.4% ） （P 〉 0. 05 ）. Conclusions Preventive transverse eolostomy can not effectively reduce the incidence of AL rate following LAR, and besides the patients have preventive transverse colostomy will require reperation to close the colostomy.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2010年第4期343-345,共3页
China Journal of General Surgery
