改良盲肠插管造口术在低位直肠癌保肛手术中的应用

目的：探讨改良盲肠插管造口术在低位直肠癌保肛术中的可行性。方法纳入我院肿瘤外科2009年8月～2013年8月期间的行直肠癌全系膜切除的低位直肠癌患者156例，随机分为：改良盲肠插管造口术组（试验组，76例）；未行预防性造口组（对照组，80例），记录患者术后吻合口瘘的发生情况。结果试验组吻合口瘘发生率1.32%（1/76），对照组8.75%（7/80），两组比较差异有统计学意义（P＜0.05）；试验组术后平均住院时间（12.1±2.8）d短于对照组（15.3±4.8）d，两组比较差异有统计学意义（P＜0.05）。结论使用改良盲肠插管造口术可有效降低术后吻合口瘘的发生，缩短术后住院时间。

The application of modified cecostomy by appendiceal stump intubation for patients with low anterior resection of low rectal carcinoma

Objective To investigate the effect of modified cecostomy by appendiceal stump intubation for patients performed low anterior resection of rectal carcinoma.Methods156 patients had low anterior resection from 2009 to 2013 in the Department of Surgical Oncology of our hospital were included. Patents were randomly allocated to perform modified cecostomy by appendiceal stump intubation or not （study group and control group respectively）. The occurrence of anastomotic leakage and the hospital length of stay were recorded.ResultsThe incidence of anastomotic leakage in the study group was significantly lower than the control group 1.32%（1/76） vs 8.75% （7/80）]. The hospital length of stay were longer in hospital in control group （15.3±4.8） day than in study group （12.1±2.8） days, andP〈0.05.Conclusion Modified cecostomy by appendiceal stump intubation could decrease the incidence of anastomotic leakage, shorten the hospital length of stay, and improve the life quality of patients.