单腔与双腔预防性回肠造口在低位直肠癌患者腹腔镜直肠癌根治术中的应用效果比较  

Comparison of the Application Effects of Single-lumen and Double-lumen Prophylactic Ileostomy in Laparoscopic Radical Resection of Rectal Cancer in Patients with Low Rectal Cancer

作　　者：孙宝平 Sun Baoping(Department of General Surgery,Weibei Central Hospital,Weinan 715100 Shaanxi Province,China)

机构地区：[1]渭北中心医院普外科,陕西渭南715100

出　　处：《中外医药研究》2025年第6期51-53,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:比较单腔与双腔预防性回肠造口在低位直肠癌患者腹腔镜直肠癌根治术中的应用效果。方法:选取2020年10月—2023年10月渭北中心医院接收的70例低位直肠癌患者为研究对象,根据随机分组法分为单腔组(n=35)和双腔组(n=35)。两组均进行腹腔镜直肠癌根治术治疗,单腔组选择单腔预防性回肠造口,双腔组选择双腔预防性回肠造口。比较两组临床相关指标差异。结果:两组术后经口进食时间比较,无统计学差异(P>0.05);双腔组手术时间、住院时间短于单腔组(P<0.05);双腔组术后造口相关并发症发生率低于单腔组(P=0.047);一期术后3个月,两组造口状况、生活状况及造口患者生活质量量表总分低于术后7 d(P<0.05);二期术后7、14 d,双腔组低位直肠前切除综合征评价量表评分低于单腔组(P<0.05)。结论:低位直肠癌患者腹腔镜直肠癌根治术后,相较于单腔造口,双腔预防性回肠造口手术时间更短,术后恢复更快,术后造口相关并发症发生率更低。Objective:To compare the application effects of single-lumen and double-lumen prophylactic ileostomy in laparoscopic radical resection of rectal cancer in patients with low rectal cancer.Methods:Seventy patients with low rectal cancer admitted to Weibei Central Hospital from October 2020 to October 2023 were selected as the study subjects and divided into a single-lumen group(n=35)and a double-lumen group(n=35)using a randomized grouping method.Both groups underwent laparoscopic radical resection of rectal cancer,with the single-lumen group receiving single-lumen prophylactic ileostomy and the double-lumen group receiving double-lumen prophylactic ileostomy.The difference of clinical related indexes between the two groups was compared.Results:There was no statistically significant difference in postoperative oral feeding time between the two groups(P>0.05).The operation time and hospital stay in the double-lumen group were shorter than those in the single-lumen group(P<0.05).The incidence of postoperative stoma-related complications in the double-lumen group was lower than that in the single-lumen group(P=0.047).At 3 months after stage I surgery,the stoma status,living condition,and total score of the quality of life scale for stoma patients in both groups were lower than those at 7 days after stage I surgery(P<0.05).At 7 and 14 days after stage 2 surgery,the score of the anterior resection syndrome evaluation scale in the double-lumen group was lower than that in the single-lumen group(P<0.05).Conclusion:In patients with low rectal cancer undergoing laparoscopic radical resection of rectal cancer,double-lumen prophylactic ileostomy,compared with single-lumen stoma,resulted in shorter operation time,faster postoperative recovery,and a lower incidence of postoperative stoma-related complications.

关 键 词：单腔造口 双腔造口 低位直肠癌 预防性回肠造口 腹腔镜直肠癌根治术 

分 类 号：R735.37[医药卫生—肿瘤]