低位直肠癌腹腔镜下根治保肛术中改良襻式单一切口末端回肠造口定位的研究  

Research on modified loop ileostomy with single incision in low rectal cancer patients with laparoscopic radical resection of anus preservation

作　　者：方方[1] 王晓岚[1] 徐亚香[1] 

机构地区：[1]江苏省苏北人民医院胃肠外科,江苏扬州225001

出　　处：《实用临床医药杂志》2015年第8期88-90,共3页Journal of Clinical Medicine in Practice

摘　　要：目的观察直肠癌根治术单一切口预防性回肠造口术术前定位对患者术后造口并发症及护理的影响。方法对78例直肠癌根治术单一切口预防性回肠造口术患者进行术前于麦氏点上方2~3 cm,向内侧成15~20°角定位。结果本组发生造口旁疝1例,造口周围皮肤炎3例,造口感染4例,80%以上患者无不适或有轻度不适。结论造瘘口术前正确定位便于护理,可减少造口并发症的发生。Objective To investigate the influence of preoperative location of modified loop ileostomy with single incision on the complications and nursing of low rectal cancer patients with laparoscopic radical resection of anus preservation. Methods The location of 78 patients with modified preventive ileostomy with single incision was 2 ~ 3 cm above the Mc Burney point with 15 ~ 20°angular inside. Results There was one case with stoma hernias,three cases with stoma dermatitis,four cases with stoma infection,more than 80% of the patients had no discomfort or had mild discomfort.Conclusion Correct preoperative location before stoma is easy to nurse and could reduce the occurrence of stoma complications.

关 键 词：低位直肠癌 末端回肠造口 单一切口 定位 

分 类 号：R473.6[医药卫生—护理学]