中国实用外科杂志2017，Vol.37Issue(10)：1165-1168,4.DOI:10.19538/j.cjps.issn1005-2208.2017.10.24
套囊直肠引流管用于低位直肠癌全直肠系膜切除临床研究
Application of the cuff rectum drainage tube in total mesorectal excision for low rectal adenocarcinoma
摘要
Abstract
Objective To investigate therapeutic effect of cuff rectum drainage tube in preventing total mesorectal excision (TME)postoperative complications and promoting the recovery of the patients.Methods The clinical data of 84 cases of low rectal cancer performed TME from June 2015 to December 2016 in the First Affiliated Hospital of Xiamen University were analyzed retrospectively.All the cases were performed anus-retained operation without preventive colostomy.Patients were divided into 2 groups according to the material of the anorectal drainage tube placed in the colonic cavity.Group Ⅰ was transanal rectal cuff placement of drainage tube (Patent No.ZL 201320384337.8) (n=48) and group Ⅱ was transanal placement of commonly used clinical common anus tube (n=36).Anastomotic fistula incidence,the time of anal exsufflation,postoperative first ambulation time,intestinal function recovery time,tube complication incidence and postoperative hospital stay between two groups were analyzed retrospectively.Results Both postoperative first ambulation and anal exsufflation time in the cuff rectum drainage tube group were shorter than those in the clinical general anal tube group [(2.3±0.4) d vs.(3.0±0.2)d,P＜0.05;(3.3±0.3) d vs.(3.9±0.5)d,P＜0.05].Meanwhile,the cuff rectum drainage tube group had significance decreased postoperative hospital stay than that in the clinical general anal tube group [(10.3-± 1.6) d vs.(11.8 ± 1.1) d,P＜0.05].Significant different occurrence of complications existed in anastomotic fistula,constipation,defecating unfinished feeling,drainage tube complication between the cuff rectum drainage tube group and the clinical general anal tube group,which included constipation [8.3％ (4/ 48)vs.27.8％(10/36),P＜0.05],defecating unfinished feeling [12.5％(6/48)vs.30.6％(11/36),P＜0.05],drainage tube complication [4.2％ (2/48) vs.22.2％ (8/36),P＜0.05].Conclusion The cuff rectum drainage tube may reduce anastomotic fistula incidence in TME,decrease postoperative hospital stay,enable faster recovery with good toleration and shorten hospital stay.关键词
低位直肠癌/保肛手术/引流管/全直肠系膜切除/吻合口漏Key words
low rectal adenocarcinoma/anus preservation surgery/drainage tube/total mesorectum excision/anatomotic fistula分类
医药卫生引用本文复制引用
刘刚,魏斌,曾俊杰,陈柏荣,尤俊,罗琪,黄正接..套囊直肠引流管用于低位直肠癌全直肠系膜切除临床研究[J].中国实用外科杂志,2017,37(10):1165-1168,4.基金项目
福建省医学创新课题(No.2016-CXB-8,No.2012-CXB-29) （No.2016-CXB-8,No.2012-CXB-29）
厦门市科技计划项目(No.3502Z20134011) （No.3502Z20134011）
福建省科技计划重点项目(No.2014D017) （No.2014D017）
福建省自然科学基金科技项目(No.2016J01639) （No.2016J01639）
