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目的 探讨永久性结肠造口术的新方法并分析其优缺点。 方法 随机选择直肠癌行Miles手术患者132例 ,分为两组 :A组 67例采用经腹膜外结肠插管端式造口术 ,B组 65例行常规夹闭结肠远端的腹壁造口 ,比较两种方法术后患者恢复情况。 结果 术后并发症如严重腹胀、主切口及造口感染、造口狭窄 ,A组分别发生 10、7、 4例 ,与B组的 2 4、15、 2 0例比较 ,有显著差异 (P <0 .0 5 )。外置肠管血运不良A、B组分别为 5例和 6例 (P >0 .0 5 )。结论 经腹膜外结肠插管端式造口术兼备腹膜外隧道法及结肠内插管端式造口的优点 ,克服了其缺点 ,手术简单易行 ,是一种永久性结肠造口的好方法 ,值得临床推广应用
Objective To explore a new method of permanent colostomy and to analyze its advantages and disadvantages. Methods A total of 132 patients undergoing Miles operation for rectal cancer were randomly divided into two groups: group A (67 cases) received extraperitoneal colostomy (STO), group B (65 cases) Comparison of two methods of postoperative recovery. Results Postoperative complications such as severe abdominal distension, main incision and stoma infection, narrow stoma were observed in 10 and 4 cases in group A, respectively, which were significantly different from those in group B <0 .0 5). External bowel dysplasia group A and B were 5 cases and 6 cases (P> 0.05). Conclusions The extraperitoneal colostomy endoprosthesis has the advantages of both extraperitoneal tunneling and colostomy tube endostomy, which overcomes the shortcomings and is simple and easy to operate. It is a good method for permanent colostomy ,Worthy of clinical application