低位直肠癌Dixon术中行预防性末端回肠造口22例临床分析  

Clinical Application of Prophylactic Terminal Ileum Colostomy in the Dixon Operation for Low Rectal Cancer in 22 Patients

作　　者：翟敏[1] 王飞[1] 王林[1] 何宋兵[1] 张海涛[1] 

机构地区：[1]苏州大学附属第一医院普外科,江苏苏州215006

出　　处：《中国血液流变学杂志》2016年第1期73-75,共3页Chinese Journal of Hemorheology

摘　　要：目的：总结在低位直肠癌Dixon术中行预防性末端回肠造口对预防吻合口漏作用的临床应用体会。方法回顾性分析2012年8月—2016年1月苏州大学附属第一医院普外科22例低位直肠癌Dixon术行预防性末端回肠造口患者的临床病例资料。结果22例行预防性末端回肠造口患者术后1例不全性肠梗阻，1例胃瘫，1例切开裂开，但均无吻合口漏发生。17例患者于术后2～6个月内行二期造口回纳术，5例患者于术后7～12个月内行二期造口回纳术。18例患者在术后5～12 d内出院，其余4例分别于术后15、18、26、55 d出院。结论低位直肠癌Dixon术后行预防性末端回肠造口对预防吻合口漏具有一定的临床应用价值，有待后续研究样本量的扩大及其与对照组的进一步对比研究。Objective To explore the experience on clinical application that is the prophylactic terminal ileum colostomy＇s prevention from anastomotic leakage in the Dixon operation for low rectal cancer.Methods 22 patients＇ clinical data, which are cases of prophylactic terminal ileum colostomy in the Dixon operation for low rectal cancer from the department of general surgery in the First Afifliated Hospital of Soochow University from August 2012 to January 2016 were analyzed retrospectively.ResultsWithin the 22 patients＇ post-operation of prophylactic terminal ileum colostomy, only caused 1 case of incomplete ileus, 1 case of gastric disease and 1 case of incision split, but none was anastomotic leakage. 17 patients had the secondary colostomy back within 2~6 months after the operation, and 5 patients within 7~12 months. 18 patients were discharged from hospital in 5~12 days after the operation, and the remaining 4 patients, in the 15th, 18th, 26th, 55th day respectively. Conclusion Prophylactic terminal ileum colostomy in the post-operation of the Dixon operation for low rectal cancer has certain value of clinical application for preventing anastomotic leakage, and can be further studied with the subsequent samples or combination of the control experiments.

关 键 词：低位直肠癌 末端回肠造口 吻合口漏 

分 类 号：R735.34[医药卫生—肿瘤]