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Miles术后肠造口二期开放乳头早期并发症处理分析

Clinical analysis of early colostomy complications after Miles surgery of secondary open mamilliplasty in low position rectal carcinoma
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摘要 目的:探讨低位直肠癌Miles术后肠造口二期开放乳头早期并发症的处理分析。方法:回顾性分析68例直肠癌患者Miles手术,其中36例行一期肠造口开放术,32例行二期肠造口开放乳头成形术,比较两组患者并发症的发生情况。结果:一期肠造口开放术组并发症发生率为38.9%,二期肠造口开放乳头成形术组并发症发生率为12.5%,两组有显著性差异(P<0.01);二期肠造口开放乳头成形术排便规律优于一期肠造口开放术组。结论:二期肠造口开放乳头成形术能较大程度降低Miles手术直肠癌患者肠造口并发症的发生。 Objective:To explore the clinical analysis of early colostomy complications after Miles surgery of sec-ondary open mamilliplasty in low position rectal carcinoma. Methods:68 cases of rectal carcinoma patients with Miles operation were retrospective analyzed, 36 cases of whom underwent first of open enterostomy, 32 cases routine sec-ondary open mamilliplasty after colostomy, compared complications of two groups. Results:First open enterostomy surgery group after colostomy complications was 38.9%, incidence of secondary open mamilliplasty after colostomy was 12.5%, there were significant difference between two groups (P〈0.01);Defecation regularity of secondary open mamilliplasty after colostomy was superior to the issue of open surgery group after colostomy. Conclusion:Secondary open mamilliplasty after colostomy can largely reduce the Miles surgery in rectal carcinoma patients with intestinal colostomy complications.
出处 《安徽卫生职业技术学院学报》 2014年第1期57-58,共2页 Journal of Anhui Health Vocational & Technical College
关键词 MILES手术 直肠癌 二期肠造口开放乳头成形术 并发症 Miles operation Rectal cancer Secondary open mamilliplasty after colostomy Complications
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