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目的:探讨预防性回肠造瘘对降低直肠癌低位前切除术后吻合口瘘发生率的临床价值。方法:136例直肠癌患者分为2组A组(99例)仅行直肠癌低位前切术,B组(37例)加行预防性回肠造瘘,比较2组术后吻合口瘘发生情况。结果:B组患者均恢复良好,无吻合口瘘发生。A组11例发生吻合口瘘,发生率11.1%,2组比较差异有统计学意义(P<0.05)。结论:预防性回肠造瘘可有效降低直肠癌低位前切除术后吻合口瘘发生率。
Objective: To investigate the clinical value of prophylactic ileostomy in reducing the incidence of anastomotic fistula after low anterior resection of rectal cancer. Methods: One hundred and sixty-six patients with rectal cancer were divided into two groups, Group A (99 cases) only underwent anterior resection of colorectal cancer, group B (37 cases) plus prophylactic ilealostomy, and the incidence of anastomotic fistula . Results: All patients in group B recovered well without anastomotic fistula. A group of 11 cases of anastomotic fistula occurred, the incidence of 11.1%, the difference between the two groups was statistically significant (P <0.05). Conclusion: Prostatic ileostomy can effectively reduce the incidence of anastomotic fistula after low anterior resection of rectal cancer.