论文部分内容阅读
目的：探讨高、中位型无肛结肠造瘘的方法。方法：１９８６年至１９９７年收治高、中位型无肛６４例，男４９例，女１５例，均分期手术，Ⅰ期手术行结肠造瘘。袢式结肠造瘘４１例，其中Ⅰ期开放造瘘２０例，延期开放造瘘２１例。双管结肠造瘘２３例，其中单切口双管结肠造瘘１０例，双切口双管结肠造瘘１３例。结果：袢式造瘘４１例，术后并发症２４例次：双管造瘘２３例，术后并发症２例次，两组有显著差异（Ｐ＜０．０１）。Ⅰ期开放２０例，术后并发症６例次，两组有显著差异（Ｐ＜０．０１）。结论：结果提示双管结肠造瘘法是高、中位型无肛较理想的结肠造瘘术式，术后并发症少。
Objective: To explore the method of high and median anorectal colostomy. Methods: From 1986 to 1997, 64 cases of high and medium type without anus were treated. There were 49 males and 15 females, all underwent stage operation and stage Ⅰ operation for colostomy. There were 41 cases of colonic fistula, including 20 cases of stage Ⅰ open fistula and 21 cases of delayed open fistula. 23 cases of double colostomy, including single incision double tube colostomy in 10 cases, double incision double tube colostomy in 13 cases. Results: There were 41 cases of ostomy, 24 cases of postoperative complications: 23 cases of double tube fistula and 2 cases of postoperative complications. There was significant difference between the two groups (P <0.01). Stage Ⅰ open 20 cases, 6 cases of postoperative complications, the two groups were significantly different (P <0.01). Conclusions: The results suggest that double-tube colostomy is a high-grade, median anorectal colostomy ideal, less postoperative complications.