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1、第20卷第10期中國(guó)普通外科雜志Vol．20No．102011年10月ChineseJournalofGeneralSurgeryOct．2011文章編號(hào):1005－6947(2011)10－1098－03·臨床研究·末端回腸雙腔造口與橫結(jié)腸雙腔造口的對(duì)比研究崔偉，陳綱，左富義，孫亮，于波［北京軍區(qū)總醫(yī)院普通外科(全軍普通外科中心)，北京100700］摘要:目的比較末端回腸雙腔造口與橫結(jié)腸雙腔造口的優(yōu)缺點(diǎn)。方法回顧性分析接受臨時(shí)性糞便轉(zhuǎn)流的直腸癌保肛手術(shù)患者的臨床資料，86例患者分為末端回腸雙腔造口組(54例)與橫結(jié)腸雙腔造口組(32例)，比較兩組患者的一般資料和與造口及造口還
2、納相關(guān)的并發(fā)癥發(fā)生情況。結(jié)果兩組間吻合口瘺的發(fā)生率無(wú)統(tǒng)計(jì)學(xué)差異(P＞0．05)，末端回腸雙腔造口組造口相關(guān)并發(fā)癥的發(fā)生率(10．9%)明顯低于橫結(jié)腸雙腔造口組(37．5%)(P＜0．05);末端回腸雙腔造口組造口還納相關(guān)并發(fā)癥的發(fā)生率(10．0%)明顯低于橫結(jié)腸雙腔造口組(32．0%)(P＜0．05)。結(jié)論對(duì)于高危的直腸癌保肛手術(shù)患者，推薦使用末端回腸雙腔造口術(shù)來(lái)轉(zhuǎn)流糞便。［中國(guó)普通外科雜志，2011，20(10):1098－1100］關(guān)鍵詞:直腸腫瘤/外科學(xué);末端回腸雙腔造口;橫結(jié)腸雙腔造口;對(duì)比研究中圖分類號(hào):R735．3文獻(xiàn)標(biāo)識(shí)碼:ADouble-barreltermin
3、alileostomyversusdouble-barreltransversecolostomyfortemporaryfecaldiversionaftersphincter-preservingsurgeryforrectalcancerCUIWei，CHENGang，ZUOFuyi，SUNLiang，YUBo(GeneralSurgeryCenterofPLA，DepartmentofGeneralSurgery，theGeneralHospitalofBeijingCommandofPLA，Beijing100700，China)Abstract:ObjectiveT
4、ocomparetheadvantagesanddisadvantagesofdouble-barrelterminalileostomyanddouble-barreltransversecolostomyfortemporaryfecaldiversionafteranus-preservingsurgeryforrectalcancer．MethodsTheclinicaldataofpatientsundergoinganus-preservingsurgeryforrectalcanceratourhospitalwereretrospectivelyanalyzed
5、．Fortemporaryfecaldiversion，54casesunderwentdouble-barrelterminalileostomyand32casesunderwentdouble-barreltransversecolostomy．Thegeneralmedicaldataandcomplica-tionsrelatedtostomaandstomaclosureofthepatientsbetweenthetwogroupswerecompared．ResultsNosignificantdifferencewasnotedbetweenthetwogro
6、upsintermsofincidenceofanastomoticleakage(P＞0．05)．Theincidenceofstoma-relatedcomplicationsofthedouble-barrelterminalileostomygroup(10．9%)wassignificantlylowerthanthatofthedouble-barreltransversecolostomygroup(37．5%)(P＜0．05)．Theincidenceofcomplicationsrelatedtostomaclosureofthedouble-barrelte
7、rminalileostomygroup(10．0%)wassignificantlylowerthanthatofthedouble-barreltransversecolostomygroup(32．0%)(P＜0．05)．ConclusionsDouble-barrelterminalileostomyisrecommendedtodivertthefecalstreamforthosehigh-riskpatientsfollowinganus-preservingsurgeryfo
