末段回肠造瘘对比结肠造瘘的临床研究  

Clinical Study of the Terminal Ileum Stoma Contrast Colostomy

作　　者：冯卢[1] 赵煜[1] 蒋忠宁[1] 

机构地区：[1]四川省医学科学院.四川省人民医院急诊外科,四川成都610072

出　　处：《中国医药指南》2015年第25期7-8,共2页Guide of China Medicine

摘　　要：目的探讨末段回肠造瘘对比结肠造瘘的优势。方法将近年行预防性结肠造瘘和末段回肠造瘘的患者分为两组,比较两组患者的一般资料、吻合口或修补口瘘发生率、关瘘方式、关瘘手术时间、切口感染率。结果两组患者的一般资料无统计学差异(P>0.05),两组间吻合口或修补口瘘的发生率无统计学差异(P>0.05),回肠造瘘组关瘘手术时间明显短于结肠造瘘组时间(P<0.05),回肠造瘘组关瘘术后切口感染率明显低于结肠造瘘组(P<0.05)。结论在预防性造瘘手术治疗中,末段回肠造瘘相比结肠造瘘具有较多的优势,推荐临床首选。Objective Discussion on the terminal ileum stoma colostomy advantages contrast. Method the colon fistula and terminal ileum stoma patients in recent years for the prevention of divided into two groups, compared two groups of patients with general information, anastomotic fistula incidence or repair, close the T fistula, fistula, operation time way closed the incision infection rate. Result No statistically significant differences between the two groups of patients with general information（P〉0.05）, between the two groups of anastomotic fistula or repair the occurrence rate showed no significant difference（P〉0.05）, ileostomy group close fistula operation time is obviously shorter than colostomy group（P〈0.05）, was significantly lower than the colostomy infection of incision fistula group group close the fistula after the operation of ileum（P〈0.05）. Conclusion In the prevention of fistula operation in the treatment of terminal ileum stoma, compared with colostomy has more advantages, recommended clinical choice.

关 键 词：末段回肠造瘘 结肠造瘘 对比研究 

分 类 号：R656[医药卫生—外科学]