结肠袢状造口闭合的手术方式探讨  

The Study of the Closed Loops of Colostomy Colon Surgery

作　　者：贺强[1] 唐富科 王永刚[1] 田利军[1] HE Qiang TANG Fuke WANG Yonggang TIAN Lijun(Shanxi Provincial People＇s Hospital, Taiyuan 030012, Shanxi, China The Construction Engineering Corporation Hospital of Linfen City, Linfen 041000, Shanxi, China)

机构地区：[1]山西省人民医院,山西太原030012 [2]临汾市建筑工程总公司职工医院,山西临汾041000

出　　处：《山西职工医学院学报》2016年第5期8-11,共4页Journal of Shanxi Medical College for Continuing Education

摘　　要：目的：分析结肠袢状造口闭合的各种手术方式及并发症,探索临床中实用的闭合术式。方法：总结2007~2015年山西省人民医院实施的袢状结肠吻合术（CL组）、肠切除＋肠端端吻合术（CE1组）、肠切除＋肠端侧吻合术（CE2组）及肠切除＋肠侧侧吻合术（CE3组）等4种结肠袢状造口闭合的手术方术,比较术后并发症发生率差异。结果：CE组总并发症发生率低于CL组（P〈0.05）;CE3组并发症发生率小于CE1组、CE2组（均P﹤0.05）。结论：肠切除＋功能性端端吻合（FETEA）造口闭合术比较实用,并发症少,值得在临床工作中推广应用。Objective：To survey the ways of closed loops of colostomy surgery and complications to compare with them, to explore the closing operations in the clinical practice. Methods： Four kinds of closed loops of colostomy surgery were underwent from 2007 to 2015, respectively the loops of colonic anastomosis group （ CL）, intestinal resection and intestinal end to end anastomosis （CE1）, intestinal resection and intestinal end side anastomosis （CE2 ）, and bowel re- section and intestinal side side anastomosis （CE3 ） and so on, compared to the incidence of postoperative complications. Results ： The overall incidence of complications in CE group was lower than that in CL group （ P 〈 0.05 ）, and the overall incidence of complications in CE3 was lower than that in CE1 , CE2 （ P 〈 0.05 ）. There was statistically significant differ- ence . Conclusions： The closed colostomy practical operation of intestinal resection and functional end to end anastomosis （FETEA） is helpful with fewer complications. It can be applied and promoted in clinical practice.

关 键 词：结肠造口闭合术 造瘘口 并发症 消化道重建 

分 类 号：R735.3[医药卫生—肿瘤]