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目的探讨免回纳回肠造口对腹腔镜直肠癌Dixon术后吻合口狭窄的影响。方法回顾性分析41例行腹腔镜直肠癌Dixon术患者的临床资料。其中,21例行免回纳回肠造口(A组),20例行襻式回肠造瘘(B组)。观察两组患者术后吻合口狭窄及其他并发症的发生情况。结果 A组吻合口狭窄发生率低于B组(4.8%vs.30.0%)(P<0.05),两组吻合口瘘发生率差异无统计学意义。与B组相比,A组二次手术率降低(P<0.01),但术后恢复通气时间延迟(P<0.05)。结论免回纳回肠造口可以减少腹腔镜直肠癌Dixon术后吻合口狭窄的发生率。
Objective To investigate the effect of amenorrhea-free ileostomy on anastomotic stenosis after laparoscopic Dixon rectal cancer surgery. Methods The clinical data of 41 patients with Dixon laparoscopic rectal cancer were retrospectively analyzed. Among them, 21 patients underwent rectal ileostomy (group A) and 20 patients underwent type ileum ostomy (group B). The incidence of anastomotic stenosis and other complications in the two groups were observed. Results The incidence of anastomotic stenosis in group A was lower than that in group B (4.8% vs. 30.0%, P <0.05). There was no significant difference in the incidence of anastomotic fistula between the two groups. Compared with group B, the rate of second surgery in group A was decreased (P <0.01), but the duration of postoperative recovery ventilation was delayed (P <0.05). Conclusions The no-accept ileostomy can reduce the incidence of anastomotic stenosis after Dixon laparoscopic rectal cancer surgery.