摘要
目的 分析低位直肠癌腹腔镜手术中应用不同造口方法预防造口旁疝的效果。方法 回顾性选取浠水县中医院于2019年1月—2021年4月收治的100例低位直肠癌患者的诊疗资料,按术中造口方法不同分为A组(n=53,行腹膜外隧道式造口)和B组(n=47,行腹膜内造口),比较两组围术期指标、造口相关并发症发生情况及肛门排便功能。结果 A组造口所用时间及总手术时间长于B组,首次排便时间短于B组,差异均有统计学意义(P均<0.05)。A组造口旁疝发生率为1.89%(1/53),低于B组的14.89%(7/47),差异有统计学意义(χ^(2)=4.095,P<0.05)。A组肛门排便功能优良率高于B组,差异有统计学意义(P<0.05)。结论 低位直肠癌腹腔镜手术中应用腹膜外隧道式造口较腹膜内造口而言,更有效预防造口旁疝发生、提高排便功能。
Objective To analyze the effect of different ostomy methods in preventing parastostomy hernia during laparoscopic operation for low rectal cancer.Methods The medical records of 100 patients with low rectal cancer admitted to Xishui Hospital of Traditional Chinese Medicine from January 2019 to April 2021 were retrospectively selected and divided into group A(n=53,performed extraperitoneal tunnel stomy)and group B(n=47,performed intraperitoneal stomy)according to different methods of intraoperative stomy.The perioperative indexes,the incidence of ostomy-related complications and the function of anal defecation were compared between the two groups.Results The ostomy time and total operation time in group A were longer than those in group B,and the first defecation time was shorter than those in group B,and the differences were statistically significant(all P<0.05).The incidence of parastostomal hernia in group A was 1.89%(1/53),lower than 14.89%(7/47)in group B,and the difference was statistically significant(χ^(2)=4.095,P<0.05).The rate of anal defecation function in group A was higher than that in group B,and the difference was statistically significant(P<0.05).Conclusion Compared with intraperitoneal stomy,the application of extraperitoneal tunnel stomy in laparoscopic operation for low rectal cancer is more effective in preventing paraperitoneal hernia and improving defecation function.
作者
戴朗
张强
DAI Lang;ZHANG Qiang(Surgery Department,Section One,Xishui Hospital of Traditional Chinese Medicine,Huanggang 438200,Hubei,China)
出处
《系统医学》
2025年第9期174-177,共4页
Systems Medicine
关键词
低位直肠癌
腹腔镜手术
腹膜外隧道式造口
腹膜内造口
造口旁疝
预防效果
Low rectal cancer
Laparoscopic surgery
Extraperitoneal tunnel stomy
Intraperitoneal stomy
Parastostomal hernia
Preventive effect
