摘要
目的探讨低位直肠癌术中行辅助性造口对吻合口漏发生风险的影响。方法采用病例对照研究,选取2014年1月至2015年12月在我院接受治疗的160例行低位直肠癌术患者为研究对象,根据手术治疗方式不同分为观察组和对照组,各80例。对照组患者在低位直肠癌术中未实施辅助性造口,观察组患者在低位直肠癌根治术中行辅助性造口,比较两组患者的术后吻合口瘘发生率、男女性别发生比例及住院时间。结果观察组患者术后吻合口瘘的发生率为3.75%,对照组患者术后吻合口瘘的发生率为20.00%,观察组明显低于对照组,两组患者比较差异具有统计学意义(P<0.05);观察组患者男性、女性的术后吻合口瘘发生率(3.75%、0.00%)均低于对照组(15.00%、5.00%),两组患者比较差异具有统计学意义(P<0.05);观察组患者中未发生吻合口瘘的患者住院时间和发生吻合口瘘的患者的平均住院时间(12.13±4.27)d、(37.16±6.21)d均少于对照组(15.28±4.13)d、(52.38±8.92)d,两组比较差异有统计学意义(P<0.05)。结论在低位直肠癌根治术中行辅助性造口能够有效的降低吻合口瘘的发生风险,缩短术后住院时间,具有临床推广价值。同时也应该根据患者的具体疾病情况,决定患者是否需要在直肠癌手术中行辅助性造口。
Objective To investigate the impact of lower colorectal cancer risk of intraoperative auxiliary stoma occurrence of anastomotic atrophy. Methods 160 cases in our hospital of low colorectal cancer patients as research subjects were randomly divided into observation group and control group, 80 cases in each. The control group of patients in the low colorectal cancer surgery were not implemented auxiliary stoma treatment, the observation group were in low colorectal cancer adjuvant intraoperative stoma treatment.The incidence of anastomotic leakage,gender incidence and the average length of hospital stay were compared. Results The incidence of anastomotic leakage of the observation group was 3.75%%, the incidence of anastomotic leakage of t control group was was 20.00%,the observation group was significantly lower than the control group, the difference between the two groups were statistically significant（P〈0.05）; male and female patients in observation group of rhe incidence of anastomotic leakage（3.75%、0.00%）were lower than the control group（15.00%、5.00%）, the two groups were statistically significant differences（P〈0.05）; The average length of hospital stay in the observation group without anastomotic leakage and with anastomotic leakage（12.13 ± 4.27） d、（ 37.16 ± 6.21） d were less than the control group（15.28 ± 4.13） d、（ 52.38 ± 8.92） d, the difference between the two groups were statistically significant（P〈0.05）. Conclusion Low colorectal cancer adjuvant intraoperative stoma can effectively reduce the risk of anastomotic leakage, shorter postoperative hospital stay, it has clinical value. It should also be based on the patient＇s specific disease, decide whether the patient needs surgery in colorectal cancer BOC auxiliary stoma.
出处
《结直肠肛门外科》
2016年第2期167-170,共4页
Journal of Colorectal & Anal Surgery
关键词
低位直肠癌术
辅助性造口
吻合口漏
Low colorectal cancer surgery
Auxiliary stoma
Anastomotic leakage
