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目的 探讨游大网膜移植促进直肠癌腹会阴联合根治术后会阴伤口愈合的可行性。 方法 1998年 3月～ 10月 ,将 31例直肠癌患者随机分为治疗组 :按根治原则完成腹会阴联合根治术加游离的大网膜片移植于会阴伤口 (12例 )和对照组 :常规腹会阴联合根治术 (19例 )。观察比较两组患者术后体温变化 ,会阴伤口引流量 ,术后住院日和会阴伤口I期愈合情况及随诊结果。 结果 治疗组和对照组的术后发烧为8.3%比 36 .8% (x2 =3.13,P >0 .0 5 ) ;会阴伤口引流量为 110ml比 186 .4ml(t=5 .10 ,P <0 .0 1) ;术后住院日为18.2天比 2 5 .0天 (t=2 .5 6 ,P <0 .0 5 )和会阴伤口I期愈合率为 91.7%比 10 .5 % (x2 =19.89,P <0 .0 1)。术后3年随诊结果无差异。 结论 游离大网膜移植于会阴伤口 ,具有减少术后伤口感染 ,减轻患者痛苦 ,提高I期愈合率 ,缩短住院时间的优点 ,是一简便可行的方法
Objective To explore the feasibility of touring the omentum to promote perineal wound healing after abdominal perineal radical mastectomy for rectal cancer. Methods From March 1998 to October 1998, 31 patients with rectal cancer were randomly divided into treatment group and perineal radical radical operation plus free omental membrane transplanted in perineal wound (12 cases) and control group Abdominal perineal radical mastectomy (19 cases). The postoperative changes of body temperature, perineal wound drainage, postoperative hospital days and perineal wound healing and the follow-up results were observed and compared between the two groups. Results The postoperative fever in the treatment group and the control group was 8.3% vs 36.8% (x2 = 3.13, P> 0.05). The perineal wound drainage was 110 ml more than 186.4 ml (t = 5.10, P < 0. 01). The postoperative hospitalization days were 18.2 days vs. 25.5 days (t = 2.56, P <0.05) and the peri-operative wound healing was 91.7% vs. 10.5% ( x2 = 19.89, P <0 .01). There was no difference in follow-up results after 3 years. Conclusion Free omentum transplantation in the perineal wound has the advantages of reducing postoperative wound infection, reducing patient pain, improving the rate of I-phase healing and shortening the hospital stay, which is a simple and feasible method