直肠癌腹腔镜腹会阴联合切除术腹膜外造口与腹膜内造口的比较

发布时间：2018-04-01 06:01

本文选题：腹腔镜　切入点：腹会阴联合切除术　出处：《中国微创外科杂志》2017年12期

【摘要】：目的探讨直肠癌腹腔镜腹会阴联合切除术中腹膜外造口的临床价值。方法回顾性分析我院2009年5月~2015年4月89例直肠癌腹腔镜腹会阴联合切除术的临床资料,评估腹膜内造口和腹膜外造口手术时间、术后并发症、排便感的差异。结果 2组造瘘手术时间无统计学差异[(23.5±5.6)min vs.(21.8±3.2)min,t=1.730,P=0.087];2组造瘘口狭窄各1例,无统计学差异(Fisher精确检验,P=1.000);2组造瘘口旁疝无统计学差异(0例vs.3例,Fisher精确检验,P=0.101)。腹膜外造口组术后4周排便感39例,显著多于腹膜内造口组3例(χ~2=51.185,P=0.000)。术后6个月2组患者均有排便感。结论腹腔镜腹膜外乙状结肠造口有一定优势。
[Abstract]:Objective to evaluate the clinical value of laparoscopic perineal excision for rectal cancer. Methods the clinical data of 89 patients with rectal cancer undergoing laparoscopic perineal resection from May 2009 to April 2015 were retrospectively analyzed. Results there was no significant difference in the operative time between the two groups [23.5 卤5.6)min vs.(21.8 卤3.2mint 1.730 vs.(21.8 卤1.730 vs.(21.8] the postoperative complications and defecation sensation of the two groups were evaluated, and there was no significant difference in the operative time between the two groups [23.5 卤5.6)min 卤3.2min] one case in each group, 1 case in each group, and 1 case in each group, and there was no significant difference in the operative time between the two groups. No statistical difference was found between the two groups. There was no significant difference in paracentral hernia in the two groups. In the extraperitoneal orifice group, 39 cases had defecation sensation 4 weeks after operation, and there was no statistical difference in 0 cases with vs.3. There were more cases in the group of intraperitoneal orifices than in the group of intraperitoneal orifices (蠂 2: 51.185). The patients in both groups had a sense of defecation 6 months after operation. Conclusion Laparoscopic extraperitoneal sigmoidostomy has some advantages.
【作者单位】：襄阳市中心医院普外科;
【基金】：襄阳市科技局课题(襄科计[2014]9-1)
【分类号】：R735.37

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