保护性回肠造瘘对低位直肠癌根治术患者的临床效果分析  

Retrospective analysis of the effect of ileocecal fistula in low rectal cancer

作　　者：蒲志忠 王红兵 Pu Zhizhong Wang Hongbing(Department General Surgery, People＇s Hospital of Kaizhou District, Chongqing, 405400, Chin)

机构地区：[1]重庆市开州区人民医院普通外科,重庆405400

出　　处：《结直肠肛门外科》2017年第2期188-191,共4页Journal of Colorectal & Anal Surgery

摘　　要：目的分析低位直肠癌根治术患者行回肠造瘘术与否的临床效果。方法回顾性分析2014年1月至2016年7月本院收治的70例低位直肠癌手术患者临床资料,根据造瘘方式的不同分为回肠造瘘组(n=37)与未造瘘组(n=33)。记录两组吻合口漏发生率、造口相关并发症总发生率、术后恢复情况及住院治疗费用。结果回肠造瘘组与未造瘘组吻合口漏发生率分别为5.41%(2/37)、12.12%(4/33),差异无统计学意义(P>0.05)。回肠造瘘组造口相关并发症总发生率为10.81%(4/37),其中造口出血、造瘘口狭窄各1例,造瘘口感染2例。回肠造瘘组盆腔引流管引流时间、住院时间、治疗费用分别为(5.26±2.01)d、(7.45±2.51)d、(33546.89±3178.65)元,均显著低于未造瘘组(均P<0.05)。结论在低位直肠癌根治术中,行预防性回肠造瘘与否患者发生吻合口漏概率相当,但前者术后康复情况更优。Objective To retrospectively analyze the effect of ileocecal fistula in low rectal cancer. Methods The clinical data of 70 patients with low rectal cancer were analyzed retrospectively. Patients were divided into ileostomy group（n = 37） and non-fistula group（n = 33） according to the different ways of fistula formation. The general information, incidence of anastomotic fistula, the overall incidence of complications related to stoma, and postoperative recovery of two groups were compared. Results The incidence of anastomotic fistula in the ileostomy group were 5.41%, and was 12.12% in the non-fistular group（P〉0.05）. Overall incidence of complications related to stoma were 10.81% in ileostomy group. The drainage time, hospitalization time and treatment cost were（5.26±2.01）d,（7.45±2.51）d,（33546.89±3178.65） RMB, respectively, in the ileostomy group, which were lower than those in the non-fistula group（P〈0.05）.Conclusion Preventive ileostomy can effectively transfer the contents of the intestine and reduce the risk of postoperative anastomotic fistula, and promote postoperative rehabilitation.

关 键 词：低位直肠癌 回肠造瘘 吻合口漏 术后康复 

分 类 号：R735.37[医药卫生—肿瘤]