摘要
目的探讨回肠改良造口与结肠常规造口用于乙状结肠癌伴梗阻高龄患者临床疗效差异。方法选取乙状结肠癌伴梗阻高龄患者120例,以随机抽样方法分为常规组和改良组,每组各60例。其中常规组患者术中行结肠常规造口治疗,改良组患者术中行回肠改良造口治疗。比较两组患者Ⅰ期、Ⅱ期手术临床指标,围手术期病死率及随访复发率等。结果改良组患者Ⅰ期手术术后首次排气时间显著短于常规组,差异有统计学意义(P<0.05);两组患者Ⅰ期手术手术时间、住院时间及并发症发生率比较差异无统计学意义(P>0.05);改良组患者Ⅱ期手术手术时间、术后首次排气时间、住院时间及术后并发症发生率均显著优于常规组,差异有统计学意义(P<0.05);两组患者围手术期病死率和随访复发率比较差异无统计学意义(P>0.05)。结论回肠改良造口与结肠常规造口用于乙状结肠癌伴梗阻高龄患者近远期疗效接近;但回肠改良造口在加快术后康复进程、降低并发症风险方面优于结肠常规造口。
Objective To explore the difference in clinical effect of modified ileostomy and conventional colostomy in treatment of elderly patients with sigmoid colon cancer and obstruction. Methods A total of 120 elderly patients with sigmoid colon cancer and obstruction were chosen for this study,and they were randomly divided into 2 groups including conventional group and modified group,each group with 60 patients.Patients in conventional group were operated with conventional colostomy and patients in modified group were performed with modified ileostomy;and the clinical indicators of phase I and phase II operation,perioperative mortality and recurrence rate in period of follow- up in both groups were compared. Results The first exhaust time in phase I operation in modified group was significantly shorter than that of conventional group（ P〈0. 05）. The operating time,first exhaust time,hospitalization duration and incidence of complications in patients of modified group were significantly better than those of patients in conventional group,but the difference was not significant（ P〈0. 05）. There was no significant difference in perioperative mortality and recurrence rate during follow- up period between these 2 groups（ P〉0. 05）. Conclusion Modified ileostomy and conventional colostomy in treatment of elderly patients with sigmoid colon cancer and obstruction possesed the same short- term and long- term effects; but in comparison with conventional colostomy,the application of modified ileostomy can efficiently speed up the rehabilitation process after operation and reduce the risk of complications.
出处
《临床和实验医学杂志》
2015年第7期590-592,共3页
Journal of Clinical and Experimental Medicine
关键词
高龄
乙状结肠癌
肠梗阻
回肠改良造口
结肠常规造口
Elderly patients
Sigmoid colon cancer
Intestinal obstruction
Modified ileostomy
Conventional colostomy
