乙状结肠癌经腹膜内造瘘与经腹膜外造瘘的临床疗效及并发症的预防

目的:探讨乙状结肠经腹膜内造瘘与经腹膜外造瘘的对比分析及造口并发症的预防。方法:选取我院收治的行肛管直肠下段恶性肿瘤切除术的患者127例,根据造瘘方式不同将患者分为两组,实验组72例予以经腹膜外造瘘,对照组55例予经腹膜内造口术,观察并比较两组患者的术中情况,术后并发症,以及术后排便功能,来评价两种造瘘方法的效果。结果:与对照组比较,实验组术中、术后并发症均降低,术后排便功能改善显著,差异均有统计学意义(P0.05)。结论:经腹膜外乙状结肠造口较经腹膜内乙状结肠造口的术中情况明显改善,且并发症减少,能够较好的控便和排便,值得临床推广使用。

Study on Comparative Analysis and Prevention of Stoma Complications ofSigmoid Colon Fistula and Peritoneal Fistula Via Peritoneum

Objective:To investigate the clinical effects of sigmoid colon fistula and peritoneal fistula via peritoneum on thetreatment of colectal cancer, and to discuss the preventions of postoperative complications.Methods:127 patients with rectum resectionof malignant tumor who were treated in our hospital were selected and according to the different treatment methods, the patients weredivided into two groups. 72 patients in the experimental group were treated by retroperitoneal external fistula, while another 55 patients inthe control group were treated by retroperitoneal internal stoma. Then the clnical effects and complications of patients in the two groupswere observed and compared.Results:Compared with control group, the intraoperative and postoperative complications in theexperimental group were lower (P<0.05), and the postoperative defecation function was better (P<0.05).Conclusion:The clinical effectof extraperitoneal sigmoid colostomy was better than that of the intraperitoneal sigmoidostomy with the improvement of patients and thelow incidence of complications, which is worth of clinical application.