不同造口技术对高位直肠癌患者术后康复质量及并发症的影响  

Influence of Neostomy Patterns on Postoperative Rehabilitation Quality and Complication of Patients with High Rectal Cancer

作　　者：何水莲[1] HE Shui-lian(Dept.of Oncological Medicine,the 1st AJfiliated Hospital to Henan Sci-tech University,Luoyang,Henan 471000)

机构地区：[1]河南科技大学第一附属医院肿瘤内科,河南洛阳471000

出　　处：《中国肛肠病杂志》2020年第10期17-19,共3页Chinese Journal of Coloproctology

摘　　要：为观察不同造口技术对高位直肠癌患者术后康复质量及并发症的影响,将181例高位直肠癌患者根据治疗方法不同分为对照组90例和观察组91例。对照组患者采用乙状结肠造口术治疗,观察组患者采用回肠袢式造口术治疗,比较2组患者治疗Ⅰ期、Ⅱ期后康复质量、生活质量以及并发症情况。结果显示,2组患者Ⅰ期手术治疗后,观察组患者术后禁食时间明显短于对照组(P<0.05);Ⅱ期手术观察组患者术后禁食时间、住院时间均短于对照组(P<0.05)。观察组患者生活质量评分明显高于对照组(P<0.05)。Ⅱ期手术后观察组患者术后并发症发生率明显低于对照组(P<0.05)。结果表明,对高位直肠癌患者采用回肠袢式造口术比乙状结肠造口术术后康复效果好,且术后并发症发生率低。This study was to observe the influence of neostomy pattern on postoperative rehabilitation quality and complication of patients with high rectal cancer(HRC),divided 181 HRC patietns into control group(90 cases,adopted orileostomy)and observation group(90 cases,ileostomy in ansa);then,compared both groups’rehabilitation quality,quality of life,and complication status afterⅠstage andⅡstage of treatment.As results,afterⅠstage of treatment the postoperative absolute diet time of observation group was significantly shorter than that of control group(P<0.05);afterⅡone this groups’absolute diet time and hospitalization time were shorter than control groups’ones(P<0.05);in the score on patients’quality of life,and in complication incidence observation group was respectively and significantly higher,and lower than control group(all,P<0.05).Results show that ileostomy in ansa has better efficacy of postoperative rehabilitation quality,and lower complication incidence than orileostomy.

关 键 词：高位直肠癌 回肠袢式造口术 乙状结肠造口术 康复质量 并发症 

分 类 号：R735.37[医药卫生—肿瘤]