直肠癌保肛手术预防性回肠造口对营养和代谢的影响  

Effects of prophylactic ileostomy on nutrition and metabolism in sphincter-preserving surgery for rectal cancer

作　　者：周声宁 卢树宏 Zhou Shengning;Lu Shuhong(Department of Gastrointestinal Surgery/Colorectal Cancer Diagnosis and Treatment Center,Guangdong Second Provincial General Hospital,Guangzhou 510000,Guangdong,China)

机构地区：[1]广东省第二人民医院胃肠外科/结直肠癌诊治中心,广东广州510000

出　　处：《结直肠肛门外科》2024年第5期536-539,共4页Journal of Colorectal & Anal Surgery

摘　　要：直肠癌保肛手术预防性回肠造口患者缺少回肠末段及结直肠的吸收功能,可能影响机体的脂质代谢,引起水和电解质代谢、酸碱平衡紊乱,严重者还会出现营养不良或高输出综合征。本文结合文献,就直肠癌保肛手术预防性回肠造口对营养和代谢的影响进行述评。Patients undergoing prophylactic ileostomy during sphincter-preserving surgery for rectal cancer lack the absorptive functions of the terminal ileum and colorectum.This may impact lipid metabolism,disrupt water and electrolyte balance,and disturb acid-base balance.In severe cases,it can lead to malnutrition or high-output syndrome.This article reviews the effects of prophylactic ileostomy on nutrition and metabolism in sphincter-preserving surgery for rectal cancer,drawing on relevant literature.

关 键 词：直肠癌 保肛手术 回肠造口 营养 代谢 高输出综合征 

分 类 号：R735.3[医药卫生—肿瘤]