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目的分析预防性回肠末端造口在腹腔镜低位直肠癌根治术中的效果。方法回顾性研究144例腹腔镜低位直肠癌根治术(Dixon)治疗的患者,将其分成两组,其中对照组患者72例无预防性回肠末端造口,治疗组72例采取预防性回肠末端造口,两组患者术前均采用快速康复措施进行围手术期处理。结果治疗组发生吻合口瘘的几率为1.39%,明显低于对照组的15.28%,差异有统计学意义(P<0.05)。并且治疗组患者的术后并发症发生率,平均住院日也较低,差异有统计学意义(P<0.05)。结论预防性回肠末端造口应用于腹腔镜低位直肠癌根治术(Dixon),可以有效减少术后并发症发生率,改善预后。
Objective To analyze the effect of prophylactic ileal terminal stoma in laparoscopic radical rectal cancer radical surgery. Methods A total of 144 patients undergoing laparoscopic low rectal cancer radical resection (Dixon) were retrospectively studied. They were divided into two groups, of whom 72 patients in the control group were treated with prophylactic ileal distal stoma. In the treatment group, 72 patients were treated with prophylactic ileum Mouth, the two groups of patients preoperative fast rehabilitation measures were used for perioperative management. Results The incidence of anastomotic fistula in treatment group was 1.39%, which was significantly lower than that in control group (15.28%), the difference was statistically significant (P <0.05). And the incidence of postoperative complications and the average length of stay in the treatment group were also lower, the difference was statistically significant (P <0.05). Conclusions The prophylactic ileum distal stoma is applied in laparoscopic radical rectal cancer (Dixon), which can effectively reduce the incidence of postoperative complications and improve the prognosis.