端侧吻合与侧侧吻合术式在回肠造口还纳术中的疗效对比研究  

Comparison of the Efficacy of End-to-side Anastomosis and Side-side Anastomosis in Ileostomy Restoration

作　　者：杨龙飞 隋永领[1] YANG Longfei;SUI Yongling(Department of Gastrointestinal Surgery,Liaocheng People's Hospital,Liaocheng,Shandong Province,252000 China)

机构地区：[1]聊城市人民医院胃肠外科,山东聊城252000

出　　处：《系统医学》2023年第15期156-158,177,共4页Systems Medicine

摘　　要：目的探讨端侧吻合与侧侧吻合两种吻合术式在回肠造口还纳术中的疗效对比研究。方法回顾性分析2020年6月—2022年6月在聊城市人民医院胃肠外科行回肠造口还纳术83例患者的临床资料。根据术式不同分组,分为端侧组40例和侧侧组43例,端侧组采用端侧吻合术式,侧侧组采用侧侧吻合术式。比较分析两组的手术相关指标及术后并发症发生率。结果侧侧吻合组手术操作耗时比端侧组长,术后首次床下活动时间、术后排气时间、住院时间均比端侧组短,术中出血量、手术切口长度均优于端侧组,差异有统计学意义(P<0.05)。侧侧组术后并发症总发生率(6.98%)低于端侧组(25.00%),差异有统计学意义(χ^(2)=5.096,P<0.05)。结论与端侧吻合手术相比,侧侧吻合术治疗胃肠道功能恢复更快,术后总住院时间更短,术后并发症发生率更低,具有相对优势。Objective To investigate the comparative study of the efficacy of end-to-side anastomosis and side-side anastomosis in ileostomy restoration.Methods A retrospective analysis was performed on the clinical data of eighty three patients who underwent ileostomy restoration in the Department of Gastrointestinal Surgery of Liaocheng People's Hospital from June 2020 to June 2022.According to different operation methods,the patients were divided into end-to-side group(40 cases)and side-side group(43 cases).End-to-side anastomosis was used in end-to-side group,and side-side anastomosis was used in side-side group.The operation-related indexes and the incidence of postoperative complications were compared between the two groups.Results The operation time of the side-side group was longer than that of the end-to-side group,and the time of first movement under bed,postoperative exhaust time and hospital stay were shorter than that of the end-to-side group,and the amount of intraoperative blood loss and the length of surgical incision were better than those in the end-to-side group,and the difference was statistically significant(P<0.05).The total incidence of postoperative complications in the side-side group(6.98%)was lower than that in the end-to-side group(25.00%),and the difference was statistically significant(χ^(2)=5.096,P<0.05).Conclusion Compared with end-to-side anastomosis surgery,side-side anastomosis treatment of gastrointestinal function recovery is faster,the total postoperative hospital stay is shorter,and the incidence of postoperative complications is lower,which has comparative advantages.

关 键 词：结直肠肿瘤 腹腔镜 回肠造口术 剖腹手术 安全性 疗效 

分 类 号：R656[医药卫生—外科学]