摘要
目的探讨盲肠置管引流在低位直肠癌保肛手术中的应用价植。方法低位直肠癌根治保肛手术共64例,分盲肠置管引流组(研究组,n=32)和保护性回肠造漏组(对照组,n=32)。分别从手术创伤、留置管的引流量、术后肛门排气时间、术后生活质量及吻合口漏的发生率进行比较。结果研究组肛门排气时间(3.25±0.52)d低于对照组(5.68±0.84)d、术后疼痛评分(3.31±0.65)分明显低于对照组(6.08±0.22)分、住院费用(25456.72±23.56)元低于对照组(36879.55±164.34)元,术后生活质量满意度(84.79%)明显优于对照组(36.21%),差异均有统计学意义(t分别=1.62、1.82、1.76,χ2=49.38,P均<0.05)。而留置管引流量、置管拔除时间、手术时间、及发生吻合口漏病例,差异均无统计学意义(t分别=0.38、0.42、0.54,χ2=0.50,P均>0.05)。结论在低位直肠癌保肛手术中,行盲肠置管引流可避免两次手术,提高术后生活质量,具有较大的优越性。
Objective To evaluate the application value of implementing catheter drainage in appendix on anosaving operation for low rectal carcinoma. Methods Sixty four patients with ano-saving operation for low rectal carcinoma were invested. 32 patients had implementing catheter drainage in appendix （research group） and 32 patients had protective ileostomy （control group）. Following aspects of two groups were compared：surgical trauma, drainage volume from catheter, anus exhausting time, postoperative pain scores, quality of postoperative life, hospital expense, drainage catheter withdrawing time and the incidence of anastomotic leakage. Results Compared to the controls, anus exhausting time [（3.25±0.52）d vs. （5.68±0.84]d, t=1.62）, aspects of postoperative pain scores（3.31±0.65 vs. 6.08± 0.22, t=1.82 ）, hospital expense [（25456.72±23.56）yuan vs. （36879.55±164.34）yuan, t=1.76）] and quality of postoperative life （84.79% vs. 36.21%, X2=49.38） were obviously better in the research group （P〈0.05）;Compared to the controls, there were no significant differences in drainage volume from catheter, drainage catheter withdrawing time, duration of surgery and the incidence of anastomotic leakage（t=0.38, 0.42,0.54, x2=0.50, P〉0.05）. Conclusions In ano-saving operation for low rectal carcinoma, implementing catheter drainage in appendix can avoid the second operation and improve the quality of postoperative life obviously.
出处
《全科医学临床与教育》
2010年第2期154-155,161,共3页
Clinical Education of General Practice
关键词
低位直肠癌
保肛手术
盲肠置管引流
low rectal carcinoma
ano-saving operation
catheter drainage in appendix
