4种量表对于低位直肠癌行预防性回肠造口还纳术患者肛门功能的评价
发布时间：2018-09-04 07:25
【摘要】：目的:比较4种量表对于低位直肠癌行预防性回肠造口还纳术后肛门功能评价的一致性、可行性及影响肛门功能的因素的初步探究。方法:选取2013年10月—2015年11月青岛大学附属医院黄岛院区普外科收治的行直肠癌根治术+预防性回肠造口术术后行回肠造口还纳的89例患者,通过Wexner量表,Vaizey量表,Pescatori量表,AMS量表对于回肠造口还纳术1、3、6及12月后的患者的肛门功能的评价。结果:1、TNM分期I期、II期与III期、IV期病人4种量表肛门功能评分差异均无统计学意义(P0.05);2、肿瘤位置越靠近肛缘,术后肛门功能恢复时间越长,肛门功能恢复情况越差;3、大多数患者肛门控制稀便的能力于术后3月恢复,控制排气的能力在术后6月恢复;4、4种量表对于肛门功能的评价具有一致性。结论:wexner量表,vaizey量表,pescatori量表,AMS量表,4种量表表评估病人肛门功能具有较好的一致性和可行性。。
[Abstract]:Objective: to compare the consistency, feasibility and influencing factors of anal function with four scales for low rectal cancer after prophylactic ileostomy. Methods: from October 2013 to November 2015, 89 patients with rectal cancer undergoing radical ileostomy and ileostomy were treated in Huangdao Hospital, Qingdao University, from October 2013 to November 2015. The anus function of patients undergoing ileostomy surgery was evaluated by Wexner and Pescatori scale. Results there was no significant difference in anal function scores between patients with stage I and stage IV of TNM stage I and III stage IV (P0.05). The closer the tumor was to the anal margin, the longer the recovery time of anal function was. The worse the recovery of anal function was, the more the ability of anal control of dilute stool recovered in 3 months after operation, and the ability to control exhaust recovered in 6 months after operation. 4 scales showed consistency in the evaluation of anal function. Conclusion there is good consistency and feasibility in evaluating anal function of patients with Vaizey's vaizey scale and pescatori scale / AMS scale.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R735.37
本文编号：2221396
[Abstract]:Objective: to compare the consistency, feasibility and influencing factors of anal function with four scales for low rectal cancer after prophylactic ileostomy. Methods: from October 2013 to November 2015, 89 patients with rectal cancer undergoing radical ileostomy and ileostomy were treated in Huangdao Hospital, Qingdao University, from October 2013 to November 2015. The anus function of patients undergoing ileostomy surgery was evaluated by Wexner and Pescatori scale. Results there was no significant difference in anal function scores between patients with stage I and stage IV of TNM stage I and III stage IV (P0.05). The closer the tumor was to the anal margin, the longer the recovery time of anal function was. The worse the recovery of anal function was, the more the ability of anal control of dilute stool recovered in 3 months after operation, and the ability to control exhaust recovered in 6 months after operation. 4 scales showed consistency in the evaluation of anal function. Conclusion there is good consistency and feasibility in evaluating anal function of patients with Vaizey's vaizey scale and pescatori scale / AMS scale.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R735.37
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1 赵晓堂;4种量表对于低位直肠癌行预防性回肠造口还纳术患者肛门功能的评价[D];青岛大学;2016年
，本文编号：2221396
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