预防性横结肠造口在直肠癌低位前切除术中的应用价值  

Value of protective transverse loop colostomy in low anterior resection of rectal cancer

作　　者：杨贵义[1] 

机构地区：[1]湖北省随州市中心医院普外三科,441300

出　　处：《临床外科杂志》2010年第4期241-242,共2页Journal of Clinical Surgery

摘　　要：目的探讨预防性横结肠造口在预防吻合口漏发生的临床价值。方法分析108例直肠癌低位前切除术患者术后吻合口漏发生情况，其中行预防性横结肠造口患者42例，未行预防性横结肠造口患者66例。结果行预防性横结肠造口术组患者仅1例发生无症状的吻合口漏，发生率2．4％；平均住院时间为14d（12—16）d。未行预防性横结肠造口者7例发生吻合口漏，发生率10．6％，出现吻合口漏的患者平均住院时间为26d（24—33）d。结论在直肠癌低位前切除术中行防性横结肠造口能降低吻合口漏的发生率。Objective To examine the clinical value of protective transverse loop colostomy in the prevention of anastomotic leakage in low anterior resection of rectal cancer. Methods Anastomotic leakage was observed in a total of 108 rectal cancer patients who underwent low anterior resection. Among the patients,42 were subjected to the protective transverse loop colostomy and 66 not. Results In the protective transverse loop colostomy group, the incidence of anastomotic leakage was 2.4% and the average hospital stay 14 days, both significantly lower than those in the non - protective transverse loop colostomy group with the incidence of anastomotic leakage being 10.6% and the average hospital stay 26 days. Conclusion The protective transverse loop colostomy can reduce the incidence of anastomotic leakage in low anterior resections of rectal cancer.

关 键 词：直肠肿瘤 低位前切除 横结肠造口术 吻合口漏 

分 类 号：R735.37[医药卫生—肿瘤]