【摘要】 目的分析预防性末端回肠造瘘对直肠癌患者保肛手术后转归的影响。方法选取2014年3月至2015年3月收治的70例直肠癌患者,均接受保肛手术治疗,运用随机数字表法分为试验组(35例)和对照组(35例),试验组实施预防性末端回肠造瘘,对照组不实施,观察两组临床情况。结果在胃肠恢复时间、排气排便时间、住院时间、并发症方面,试验组优于对照组;术后3 d两组IL-6、C反应蛋白(CRP)比较,差异显著(P<0.05)。结论针对接受保肛手术的直肠癌患者,实施预防性末端回肠造瘘术,有利于减轻手术应激反应,减少并发症,加快康复速度,值得临床推广应用。更多还原

【Abstract】 Objective To observe and analyze the influence of prophylactic terminal ileum stoma on the prognosis of rectal cancer patients after anus preserving operation. Methods 70 patients with rectal cancerand who accepted treatments in our hospital from March,2014 to March,2015 were selected,and all patients were underwent anus preserving operation.The patients were divided into the observation group(n=35) and the control group(n=35) by the random number table method.In the observation group,the patients were treated with prophylactic terminal ileum stoma while in the control group were not implemented.Then,the clinical situation of the two groups were observed. Results The gastrointestinal recovery time,the exhaust defecation time,hospitalization time,complications aspect,in the observation group was better than those in the control group.And after surgery for 3 d,the comparsion of IL-6,CRP of two groups of patients were significant difference(P<0.05). Conclusion For patients with rectal cancer who underwent anus preserving operation,the implementation of the prevention of terminal ileum stoma is beneficial to reduce the surgical stress response,reduce the complications,and accelerate the pace of recovery,thus it is worthy to be applied in the clinical.更多还原