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目的比较末端回肠双腔造口与横结肠双腔造口的优缺点。方法回顾性分析接受临时性粪便转流的直肠癌保肛手术患者的临床资料,86例患者分为末端回肠双腔造口组(54例)与横结肠双腔造口组(32例),比较两组患者的一般资料和与造口及造口还纳相关的并发症发生情况。结果两组间吻合口瘘的发生率无统计学差异(P>0.05),末端回肠双腔造口组造口相关并发症的发生率(10.9%)明显低于横结肠双腔造口组(37.5%)(P<0.05);末端回肠双腔造口组造口还纳相关并发症的发生率(10.0%)明显低于横结肠双腔造口组(32.0%)(P<0.05)。结论对于高危的直肠癌保肛手术患者,推荐使用末端回肠双腔造口术来转流粪便。
Objective To compare the advantages and disadvantages of double-lumen ostomy with end-ileal double-stoma and transverse colon. Methods The clinical data of patients undergoing anal sphincter preservation surgery for temporary stool diversion were retrospectively analyzed. 86 patients were divided into two groups: the terminal ileum double cavity (54 cases) and the transverse colon double cavity (32 cases). General information on both groups of patients and the incidence of complications associated with stoma and stoma. Results There was no significant difference in the incidence of anastomotic fistula between the two groups (P> 0.05). The incidence of ostomy-related complications (10.9%) in the double-lumen end-stage ileostomy group was significantly lower than that in the transverse colon double- %) (P <0.05). The incidence of complications associated with reconstruction of the terminal ileum in the double-chamber stoma was significantly lower than that in the transverse colon double-chamber stoma (10.0%, P <0.05). Conclusions For high-risk patients with rectal anorectal surgery, end-ileal double-lumen ostomy is recommended to divert faeces.