预防性造口在低位直肠癌保肛术中的应用

发布时间：2018-05-07 03:38

本文选题：直肠肿瘤 + 预防性造口　；参考：《中国普通外科杂志》2017年04期

【摘要】：目的:探讨预防性造口在低位直肠癌保肛术中的应用价值。方法:回顾性分析2013年10月—2016年9月在广东省中医院肛肠科接受手术治疗的低位直肠癌患者的临床资料,根据其是否施行预防性造瘘术将分为两组,各组50例,即预防性末段回肠造口组(造口组)和未行预防性末段回肠造口组(对照组)。比较术后两组患者肛门功能、并发症发生率和生活质量的差异。结果:造口组患者术后肛门功能的优良率明显高于对照组(80.00%vs.56.00%,P0.05);造口组吻合口瘘发生率明显低于对照组(0.00%vs.10.00%,P0.05),两组再次手术率无统计学差异(0.00%vs.6.00%,P0.05);造口组患者术后躯体功能、躯体角色和肢体疼痛等生活质量得分均高于对照组,差异均有统计学意义(P0.05)。结论:预防性造口在低位直肠癌保肛术中的应用可较好的保留患者肛门功能,减轻并发症发生率,提高患者术后生活质量。
[Abstract]:Objective: to evaluate the value of prophylactic orifice in anus preserving operation for low rectal cancer. Methods: the clinical data of patients with low rectal cancer undergoing surgical treatment in Department of anorectal Cancer, Guangdong Provincial Hospital of traditional Chinese Medicine, from October 2013 to September 2016, were retrospectively analyzed. According to whether or not prophylactic fistula was performed, 50 patients in each group were divided into two groups. That is the prophylactic late ileostomy group and the control group without prophylactic ileostomy. The anal function, incidence of complications and quality of life were compared between the two groups. Results: the excellent and good rate of anal function in the group of anastomosis was significantly higher than that in the control group (80.00vs.56.00), the incidence of anastomotic leakage in the group of anastomosis was significantly lower than that in the control group (0.00vs.10.00) P0.05, and there was no significant difference in the rate of reoperation between the two groups (0.00vs.6.00). The scores of body role and limb pain were significantly higher than those of control group (P 0.05). Conclusion: the application of prophylactic orifice in anus preserving operation for low rectal cancer can save anal function, reduce the incidence of complications and improve the quality of life after operation.
【作者单位】：广东省中医院肛肠科;
【分类号】：R735.37

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