腹膜外结肠造口一期乳头成形术的临床效果  

CLINICAL STUDY OF 1 STAGE MAMMILLAPLASTY FOR EXTRAPERITIONEAL COLOSTOMY

作　　者：考军[1,2] 周文丽[1,2] 宋浩 高志棣 吴凌云[1,2] 

机构地区：[1]青岛市第二人民医院肿瘤科 [2]青岛市第四人民医院外科

出　　处：《齐鲁医学杂志》1999年第3期170-171,共2页Medical Journal of Qilu

摘　　要：目的探讨腹膜外结肠造口加一期乳头成形术的临床效果。②方法对５１例肛管和直肠癌病人施行腹膜外结肠造口一期乳头成形术，并与施行传统Ｍｉｌｅｓ腹膜内结肠造口术４０例病人的效果进行比较，观察造口并发症和排便功能改善情况。③结果５１例腹膜外结肠造口术病人经１～５年的随访，仅有１例发生造口旁疝，并发症的发生率为１．９％，４０例病人获排便感。对照组各种并发症的发生率为３０．０％，无１例病人有排便感。两组比较差异有极显著性（χ２＝１３．８０，Ｐ＜０．００１）。④结论腹膜外结肠造口一期乳头成形术具有并发症少，排便功能好，易于术后管理等优点。Objective\ To explore the clinical effects of the 1 stage mammillaplasty for extraperitioneal colostomy in patients with rectal anus and carcinoma.\ Methods\ 51 patients with anus and rectal carcinoma recieved 1 stage mammillaplasty for extraperitoneal colostomy. The control group was made up of another 40 rectal carcinoma patients who recieved the traditional Miles' operation. Post operative complications and functions of defecation in the two groups were compared.\ Results\ The 51 patients with extraperitoneal colostomy were followed up for 1-5 years. Only one of them suffered from hernia. The morbidity of complications was about 1.9% and 40 patients got continence colostmies. The morbidity of control group was much higher ( 30.0% ) and none of them got continence colostomy. There was a significant difference between the two groups ( χ 2=13.80, P < 0.001 ).\ Conclusion\ The 1 stage mammillaplasty for extraperitioneal colostomy had less complications, better functions of defecation and easier management after operation.

关 键 词：腹膜外 结肠造口术 乳头成形 肛门肿瘤 直肠肿瘤 

分 类 号：R735.305[医药卫生—肿瘤] R657.1[医药卫生—临床医学]