| 耿伟 宫春梅 王培芹 朱立波 陶娜.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[J].,2015,15(30):5910-5913 |
| 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 |
| Study on Comparative Analysis and Prevention of Stoma Complications ofSigmoid Colon Fistula and Peritoneal Fistula Via Peritoneum |
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| DOI： |
| 中文关键词: 乙状结肠造口术 腹膜内 腹膜外 并发症 |
| 英文关键词: Sigmoid stoma Intraperitoneal Extraperitoneal Complications |
| 基金项目:国家自然科学基金青年科学基金项目（30901795） |
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| 中文摘要: |
| 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（P＜0.05）。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。 |
| 英文摘要: |
| Objective:To investigate the clinical effects of sigmoid colon fistula and peritoneal fistula via peritoneum on the
treatment of colectal cancer, and to discuss the preventions of postoperative complications.Methods:127 patients with rectum resection
of malignant tumor who were treated in our hospital were selected and according to the different treatment methods, the patients were
divided into two groups. 72 patients in the experimental group were treated by retroperitoneal external fistula, while another 55 patients in
the control group were treated by retroperitoneal internal stoma. Then the clnical effects and complications of patients in the two groups
were observed and compared.Results:Compared with control group, the intraoperative and postoperative complications in the
experimental group were lower (P<0.05), and the postoperative defecation function was better (P<0.05).Conclusion:The clinical effect
of extraperitoneal sigmoid colostomy was better than that of the intraperitoneal sigmoidostomy with the improvement of patients and the
low incidence of complications, which is worth of clinical application. |
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