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目的 采用乙状结肠皮下预埋造瘘术以解决和提高晚期直肠癌术中无法切除但无明显肠梗阻或不全性肠梗阻患者的生活质量。方法 常规行乙状结肠近端单口造瘘 ,将乙状结肠近端封闭后埋于皮下 ,再在距盲端 15cm处做乙状结肠近端与远端乙状结肠端 -侧吻合。后期在患者出现明显肠梗阻后 ,将预埋皮下造瘘盲端打开即可。结果 全组 2 1例患者中未发生 1例预埋处感染。后期打开预埋造瘘盲端时间为 3～ 18个月。结论 该方法可使患者生活质量明显提高 ,避免了二次开腹造瘘之痛苦和风险。
Objective To study the submandibular fistula of sigmoid colon in order to solve and improve the quality of life of patients with unresectable intestinal obstruction or incomplete intestinal obstruction in the treatment of advanced rectal cancer. Methods Conventional sigmoid colon proximal single-port ostomy was performed. The proximal sigmoid colon was closed and subcutaneously embedded. The proximal and distal sigmoid colon end-side anastomosis was performed at a distance of 15 cm from the blind end. Later in patients with significant intestinal obstruction, the embedded subcutaneous fistula blind end can be opened. Results There was no infection in one of 21 patients in the whole group. Open late buried fistula blind end time of 3 to 18 months. Conclusion This method can significantly improve the quality of life of patients, to avoid the pain and risk of secondary open fistula.