腹腔镜直肠前切除预防性回肠单腔造口与双腔造口的临床应用研究OA
Clinical Application Study of Laparoscopic Anterior Rectal Resection for the Prevention of Single-Lumen Stoma and Double-Lumen Stoma
目的:观察比较腹腔镜直肠前切除术中预防性回肠单腔造口和双腔造口在临床中应用效果.方法:选取 2021 年 6 月—2024 年 6 月三明市第一医院收治的 90 例接受腹腔镜直肠前切除术患者作为研究对象,随机分为两组,每组各 45 例.观察组采用预防性回肠单腔造口,对照组使用预防性回肠双腔造口.比较两种造口方式在手术时间、术中出血量、术后并发症总发生率、住院天数,以及住院总费用等方面的差异.结果:观察组造口的手术时间、术中出血量与对照组比较,差异无统计学意义(P>0.05);观察组术后并发症总发生率、住院天数、住院总费用明显少于对照组,差异有统计学意义(P<0.05).结论:腹腔镜直肠前切除术预防性回肠单腔造口比双腔造口更加安全、合理.
Objective:To observe and compare the clinical effect of prophylactic ileostomy with single-lumen stoma and double-lumen stoma in laparoscopic anterior rectal resection.Method:90 patients who underwent laparoscopic anterior resection of the rectum at the Sanming First Hospital from June 2021 to June 2024 were randomly divided into two groups,with 45 cases in each group.Prophylactic ileum single-lumen stoma was used in the observation group and double-lumen ileum stoma was used in the control group.The differences between the two stoma methods in terms of operation time,blood loss,total incidence of postoperative complications,length of hospital stay,and total hospital cost were compared.Result:The operation time and blood loss during the operation of the observation group were compared to those of the control group,with no statistically significant differences(P>0.05).The total incidence of postoperative complications,length of stay and total hospitalization cost of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).Conclusion:Laparoscopic anterior rectal resection prophylactic single-lumen stoma is safer and more reasonable than double-lumen stoma.
林洪坦;陈燊;林葆;罗斌斌;邱建东
福建医科大学附属三明第一医院 福建 三明 365000福建医科大学附属三明第一医院 福建 三明 365000福建医科大学附属三明第一医院 福建 三明 365000福建医科大学附属三明第一医院 福建 三明 365000福建医科大学附属三明第一医院 福建 三明 365000
直肠前切除术预防性回肠造口吻合口瘘
Anterior resection of the rectumProphylactic ileostomyRectal anastomotic fistula
《中外医学研究》 2026 (6)
39-41,45,4
福建省三明市科技计划项目(2023-S-118)
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