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目的:探讨直肠癌Miles手术中选择不同的肠造口方法,以减少结肠造口术后并发症,提高患者术后生活质量。方法:对行直肠癌Miles术治疗的160例患者随机分成两组。试验组80例,采用Miles术经腹膜外隧道式、平坦型造口术;对照组80例,采用Miles术经腹膜内、隆起型造口术。结果:试验组患者的术后并发症、排便功能的改善情况明显优于对照组。结论:直肠癌Miles术经腹膜外隧道式平坦型造口术,减少结肠造口术后并发症,提高患者术后生活质量。
OBJECTIVE: To investigate the different methods of colostomy in the Miles operation for rectal cancer in order to reduce postoperative colostomy complications and improve postoperative quality of life. Methods: A total of 160 patients undergoing Miles operation for colorectal cancer were randomly divided into two groups. Eighty patients in the experimental group were treated with Miles intraperitoneal tunneling and flat ostomy. In the control group, 80 patients were treated with Miles intraperitoneal and bulge type ostomy. Results: The improvement of postoperative complications and defecation function in the experimental group was significantly better than that of the control group. CONCLUSIONS: The Miles technique of rectal cancer is an extraperitoneal tunnel flat-type ostomy to reduce postoperative colostomy complications and improve postoperative quality of life.