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目的探讨保护性回肠造口对低位直肠癌保肛术患者术后并发症及排便功能的影响。方法 2013年1月至2015年3月在通许县人民医院接受治疗的低位直肠癌患者76例,均行保肛术,按具体手术方案分为对照组(38例,术中单纯采用双吻合器手术治疗)和观察组(38例,术中行双吻合器手术与保护性回肠造口),比较两组效果。结果观察组术后3 d内可正常排气排便者明显多于对照组,患者术后并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。结论低位直肠癌保肛术中行保护性回肠造口可有效减少术后并发症发生率,促进患者排便功能的尽早恢复,临床推广应用价值显著。
Objective To investigate the effect of protective ileostomy on the postoperative complications and defecation function in patients with low rectal cancer before anal sphincter preservation surgery. Methods From January 2013 to March 2015, 76 patients with low rectal cancer treated in Tongxu People’s Hospital underwent anal sphincter preservation. According to the specific operative protocol, they were divided into control group (38 cases, double stapler Surgical treatment) and observation group (38 cases, intraoperative double stapling surgery and protective ileostomy), the two groups were compared. Results The number of defecation in the observation group was significantly higher than that in the control group within 3 days after operation. The incidence of postoperative complications in the observation group was significantly lower than that in the control group (P <0.05). Conclusions The protective ileostomy in the treatment of low rectal cancer can effectively reduce the incidence of postoperative complications and promote the early recovery of defecation function in patients with low rectal cancer. The value of clinical application is significant.