预防性回肠造口与横结肠造口的效果比较  

Effect comparison between prophylactic ileostomy and transverse colostomy

作　　者：朱平[1] 朱剑飞[1] 朱俊强[1] 石骏[1] 张京平[1] 

机构地区：[1]南京医科大学附属常州第二人民医院普外科,江苏常州213003

出　　处：《实用临床医药杂志》2014年第1期56-57,65,共3页Journal of Clinical Medicine in Practice

摘　　要：目的比较预防性回肠末端造口及横结肠造口的优缺点。方法回顾性分析66例造口患者的临床资料,比较回肠造口与传统横结肠造口的切口长度、手术时间、恢复经口进食所需的时间、造口首次排便的时间及术后排泄量等指标。结果回肠造口手术的切口长度为(4.2±1.5)cm,手术时间为(21.4±11.3)min;横结肠造口切口长度为(7.1±2.4)cm,手术时间为(45.5±24.8)min。回肠造口患者恢复经口进食是(1.14±0.56)d,首次经造口排便时间是(0.95±1.1)d;横结肠造口患者恢复经口进食是(3.45±1.87)d,首次排气时间是(3.87±1.5)d。结论在无大量粪便潴留的前提下,预防性回肠末端造口效果优于传统横结肠造口。Objective To compare the advantages and disadvantages between prophylactic ileostomy and transverse colostomy.Methods Clinical materialsof 65 patientswith neostomy were analyzed retrospectively. The indexes such as incision length, operation time, the time to oral intake, the time to first defecation and excretion quantity were compared between patients with prophylactic ileostomy and patients with transverse colostomy. Results The mean incision length and the mean operation time were（4.2± 1.5）cm and（21.4± 11.3）minutes in patients with prophylactic ileostomy, which were less and shorter than（7.1± 2.4）cm and（45.5± 24.8）minutes in patients with transverse colostomy. The mean time to oral intake and the mean time to first defecation were（1.14± 0.56）days and（0.95± 1.1）daysin patientswith prophylactic ileostomy,which were shorter than（3.45± 1.87）days and（3.87± 1.5）daysin patients with transverse colostomy.Conclusion Under the precondition of less fecal retention, the efficacy of the prophylactic ileostomy is better than that of the transverse colostomy.

关 键 词：预防性 回肠末端造口 横结肠造口 

分 类 号：R574.6[医药卫生—消化系统]