预防性回肠造口相关并发症及还纳时机分析  

Related complications and optimal closing timing of preventive ileum stoma

作　　者：张红彬[1] 李蜀华[1] 李洲[1] 韩华 曹万龙 Zhang Hongbin;Li Shuhua;Li Zhou;Han Hua;Cao Wanlong(General Surgery Department,First People s Hospital of Zigong,Zigong,Sichuan 643000,China)

机构地区：[1]自贡市第一人民医院普外科

出　　处：《现代临床医学》2019年第3期169-171,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨预防性回肠造口相关并发症及手术还纳时机。方法:选取我科2014年11月至2017年3月间中低位直肠癌保肛手术并行预防性末段回肠造口患者76例,按手术还纳造口时间分甲、乙两组,甲组37例(术后1~3个月还纳),乙组39例(术后3~6个月还纳),比较两组造口相关并发症及还纳术后近期并发症。结果:乙组造口相关并发症发生率显著高于甲组(48.72%vs 37.84%,P<0.01)。乙组还纳术后近期并发症发生率与甲组比较无显著性差异(35.90%vs 35.14%,P>0.05)。结论:提前到术后1~3个月内还纳预防性回肠造口,可以减少造口相关并发症发生率,而并不会增加术后近期并发症,同时可提高病人生活质量及减少费用。Objective:To investigate the related complications and optimal closing timing of preventive ileum stoma.Methods:From November 2014 to March 2017, 76 patients with mid-low rectal cancer undergoing sphincter preserving surgery and prophylactic terminal ileum stoma were divided into two groups according to the closing time of ileum stoma. 37 cases belonged to group A(closing the stoma after 1-3 months) while 39 cases belonged to group B(closing the stoma after 3-6 months). The stoma-related complications and short-term complications after the stoma closing were compared between the two groups.Results:The incidence of stoma-related complications in group B was significantly higher than that in group A(48.72% vs 37.84%, P<0.01). There was no significant difference in the incidence of complications after the stoma closing between group B and group A(35.90% vs 35.14%, P>0.05).Conclusion:Closing the stoma early within 1 to 3 months after preventive ileostomy can reduce the incidence of stoma-related complications, but not increase the short-term complications after the stoma closing, improve the quality of life of patients and reduce their costs.

关 键 词：直肠肿瘤 回肠造口 造口相关并发症 

分 类 号：R735.37[医药卫生—肿瘤]