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目的:探讨辅助性回肠造口在超低位直肠前切除术中应用临床价值。方法:对2000～2008年行超低位直肠前切除术140例患者随机分成施行或未施行辅助性回肠造口两组,分析两组间肠道功能恢复、住院时间及吻合口瘘发生率的差异。结果:70例行辅助性单腔回肠造口术患者术后恢复肠道时间和住院时间明显短于未行辅助性回肠造口患者。70例未行造口的患者中发生吻合口瘘5例(7.1%),而行辅助性回肠造口的70例未发生1例吻合口瘘。结论:在超低位直肠前切除术中,应常规使用辅助性回肠造口术。
Objective: To investigate the clinical value of adjuvant ileostomy in ultra-low rectal resection. Methods: 140 patients with ultra-low rectal resection from 2000 to 2008 were randomly divided into two groups, with or without adjuvant ileostomy. The differences of intestinal functional recovery, hospitalization time and anastomotic fistula between the two groups were analyzed . Results: 70 cases assisted assisted single-chamber ileostomy patients with postoperative intestinal recovery time and hospitalization was significantly shorter than patients without auxiliary ileostomy. There were 5 cases (7.1%) of anastomotic fistulas in 70 patients without stoma, while 1 case of anastomotic fistula occurred in 70 cases without helical ileostomy. Conclusions: In ultra-low rectal resection, adjuvant ileostomy should be routinely used.