三针法联合新创打结方式在中低位直肠癌预防性回肠造口术中的应用效果  

Application effect of three-stitch method combined with new knotting method in prophylactic ileostomy for mid and low rectal cancer

作　　者：郑秋霞 王战会 李东亮 孙宗斌 王海全 孙生安 ZHENG Qiu-xia;WANG Zhan-hui;LI Dong-liang;SUN Zong-bin;WANG Hai-quan;SUN Sheng-an(Department of General Surgery,the Second Affiliated Hospital of Zhengzhou University,He′nan Province,Zhengzhou,450000,China;Department of General Surgery,Luoyang Central Hospital Affiliated to Zhengzhou University,He′nan Province,Luoyang,471000,China)

机构地区：[1]郑州大学第二附属医院普外科,河南郑州450000 [2]郑州大学附属洛阳中心医院普外科,河南洛阳471000

出　　处：《中国当代医药》2020年第5期95-97,101,共4页China Modern Medicine

基　　金：国家自然科学基金资助项目(U1404825)。

摘　　要：目的探讨三针法联合新创打结方式在中低位直肠癌预防性回肠造口术中的应用效果。方法回顾性分析2014年12月~2019年1月于郑州大学附属洛阳中心医院普外科行中低位直肠癌预防性回肠造口术的68例患者的临床资料,按照打结方式的不同将其分为观察组(36例)和对照组(32例)。观察组患者采用三针法联合新创打结方式,对照组患者采用传统打结方式。比较两组患者术后造口狭窄、造口分离发生率及打结缝合时间。结果观察组患者的术后造口狭窄、造口分离发生率均低于对照组,差异有统计学意义(P<0.05)。观察组患者的打结缝合时间短于对照组,差异有统计学意义(P<0.05)。结论三针法联合新创打结方式相比传统打结方式能够显著降低患者造口狭窄、造口分离的发生率,并且能够缩短打结缝合时间,效果显著,方法简便,值得在临床上应用。Objective To explore the application effect of three-stitch method combined with new knotting method in prophylactic ileostomy for mid and low rectal cancer.Methods The clinical data of 68 patients undergoing prophylactic ileostomy for low and middle rectal cancer in General Surgery Department of Luoyang Central Hospital Affiliated to Zhengzhou University from December 2014 to January 2019 were retrospectively analyzed,and they were divided into observation group(36 cases)and control group(32 cases)according to different knotting methods.Patients in the observation group used the three-stitch method combined with new knotting method,while patients in the control group used the traditional knotting method.The incidence rates of postoperative stoma stenosis and stoma separation,and the time of knotting and suture were compared between the two groups of patients.Results The incidence rates of postoperative stoma stenosis and stoma separation in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The time of knotting and suture in the observation group was shorter than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with traditional knotting methods,the three-stitch method combined with new knotting method can significantly reduce the incidence rates of stoma stenosis and stoma separation,and shorten the time of knotting and suture.The effect is remarkable,and this method is simple and worthy of clinical application.

关 键 词：新创打结方式 三针法 造口狭窄 造口分离 预防性回肠造口术 中低位直肠癌 

分 类 号：R735.37[医药卫生—肿瘤]