预防性末段回肠造瘘术在保护结直肠高危吻合口中的应用  

The Application of Prophylactic Terminal Ileostomy for Protecting High-Risk Colorectal Anastomotic Stoma

作　　者：张培新[1] 刘凤林[2] 沈坤堂[2] 焦大海[1] 高晓东[2] 

机构地区：[1]安徽省阜阳市人民医院普外科,安徽阜阳236000 [2]复旦大学附属中山医院普外科,上海200032

出　　处：《中国临床医学》2015年第6期774-776,共3页Chinese Journal of Clinical Medicine

摘　　要：目的：探讨预防性末段回肠造瘘术在保护结直肠高危吻合口中的临床效果。方法：2014年2月—10月,对11例结直肠高危吻合口瘘的结直肠癌患者行Dixon手术＋预防性末段回肠造瘘术,观察手术后吻合口并发症的发生情况及预后。结果：11例患者均于术后7-10 d出院。术后发生吻合口瘘2例,均为轻微瘘,患者无自觉症状,无特别治疗;术后发生吻合口出血1例,经保守治疗出血停止,未发生吻合口瘘。结论：预防性末端回肠造瘘术能有效防治结直肠高危吻合口瘘,值得临床推广。Objective ：To investigate the clinical effect of prophylactic terminal ileostomy for protecting high-risk colorectal anastomotic stoma .Methods ：Dixon operation combined with prophylactic terminal ileostomy was performed for even colorectal cancer patients with high risk of colorectal anastomotic leakage during February 2014 and October 2014 .The occurrence and outcome of complications related to anastomotic stoma were observed .Results ： All the patients were dismissed from 7 to 10 days after operation .Anastomotic leakages occurred in 2 cases ,and both were slight leakages with no subjective symptom . And no specific surgical treatment was performed for them .Anastomotic bleeding occurred in 1 case and the bleeding was stopped by conservative treatment . There was no occurrence of leakage . Conclusions ： Prophylactic terminal ileostomy is effective for protecting high-risk colorectal anastomotic stoma from leakage .So it is worthy of clinical promotion .

关 键 词：预防性末段回肠造瘘术 结直肠高危吻合口 吻合口瘘 

分 类 号：R735.9[医药卫生—肿瘤]