摘要
目的:探讨临床中腹腔镜低位与超低位直肠癌保肛根治术的治疗中应用改良襻式回肠末端造瘘的临床应用效果及价值.方法:本次研究采取回顾性的分方法对我院2008-01/2011-12 120例直肠癌患者资料进行分析,并且所有的患者均采取中腹腔镜低位与超低位直肠癌保肛根治术治疗,将60例未实施改良襻式回肠末端造瘘的患者为对照组,60例实施改良襻式回肠末端造瘘的患者为研究组,观察两组患者的治疗情况.结果:通过对两组的治疗效果对比分析,研究组患者的手术时间和术中出血量均高于对照组,但是两组的数据比较无明显的统计学差异(P>0.05).研究组患者术后肛门排气时间、术后盆腔引流管拔除时间、术后进食时间和住院时间与治疗费用均明显的低于对照组患者术后肛门排气时间、术后盆腔引流管拔除时间、术后进食时间和住院时间与治疗费用,数据的比较具有明显的差异(P<0.05),统计学有意义.研究组术后并发症发生率为20.0%,对照组术后并发症发生率为3.3%,研究组术后并发症发生率明显的低于对照组术后并发症发生率,数据的比较具有明显的差异(P<0.05),统计学有意义.结论:临床中对于腹腔镜低位与超低位直肠癌保肛根治术的治疗中应用改良襻式回肠末端造瘘能够有效的降低吻合口痿的情况发生,值得临床中应用与推广.
AIM： To assess the application value of an im- proved loop ileostomy in laparoscopic low and ultra-low rectal resection for colorectal cancer. METHODS： One hundred and twenty patients who underwent laparoscopic low and ultra-low rectal resection for colorectal cancer at our hos- pital from January 2008 to December 2011 were included in this study, including 60 patients who received an improved loop ileostomy （study group） and 60 who did not （control group）. Clinical effects were compared between the two groups of patients. RESULTS： Although the study group had high- er operative time and blood loss volume than the control group, the differences were not sig- nificant （P 〉 0.05）. The time to flatus, postopera-tive pelvic drainage tube removal time, postop- erative feeding, and hospital stay and treatment costs were significantly lower in the study group than in the control group （P 〈 0.05）. The postop- erative complication rate was significantly lower in the study group than in the control group （3.3% vs 20.0%, P 〈 0.05）. CONCLUSION： Laparoscopic low and ultra-low rectal resection for colorectal cancer treatment using an improved loop ileostorny can effective- ly reduce the postoperative complication rate.
出处
《世界华人消化杂志》
CAS
北大核心
2014年第21期3170-3173,共4页
World Chinese Journal of Digestology
