局解手术学杂志Issue(6)：640-641,642,3.DOI:10.11659/jjssx.1672-5042.201406026
腹膜外结肠造口在直肠癌Miles术中的临床应用
Clinical application of extraperitoneal sigmoidostomy in Miles operation for rectal cancer
杨召金1
作者信息
- 1. 井研县人民医院普通外科，四川 井研613100
- 折叠
摘要
Abstract
Objective To explore the clinical value of extraperitoneal sigmoidostomy in Miles operation for rectal cancer. Methods 96 patients with rectal cancer undergoing Miles operation during January 2008 to June 2013 were divided into two groups according to different way of sigmoidostomy:the extraperitoneal group and the intraperitoneal sigmoidostomy group. The clinical data, complications caused by sig-moidostomy and defecation function were compared between the two grougs. Results 51 patients received extraperitoneal sigmoidostomy and 45 patients received intraperitoneal sigmoidostomy. There was no significant difference between the two groups in stenosis, retraction, necro-sis and prolapse of mucosa caused by sigmoidostomy. The incidence of parastomal hernia was higher in intraperitoneal sigmoidostomy group than that in extraperitoneal group (1. 9% vs 17. 8%,P<0. 05). The defecation function was better in extraperitoneal sigmoidostomy group. Conclusion The extraperitoneal sigmoidostomy has the advantages of less complications and better defecation functions, and it can effective-ly improve the life quality of patients.关键词
直肠癌/Miles术/结肠造口术Key words
rectal cancer/Miles/colostomy分类
医药卫生引用本文复制引用
杨召金..腹膜外结肠造口在直肠癌Miles术中的临床应用[J].局解手术学杂志,2014,(6):640-641,642,3.
