CAJ | 학술논문

目的：探讨低位直肠癌Miles术后肠造口二期开放乳头早期并发症的处理分析。方法：回顾性分析68例直肠癌患者Miles手术，其中36例行一期肠造口开放术，32例行二期肠造口开放乳头成形术，比较两组患者并发症的发生情况。结果：一期肠造口开放术组并发症发生率为38.9%，二期肠造口开放乳头成形术组并发症发生率为12.5%，两组有显著性差异（P<0.01）；二期肠造口开放乳头成形术排便规律优于一期肠造口开放术组。结论：二期肠造口开放乳头成形术能较大程度降低Miles手术直肠癌患者肠造口并发症的发生。
목적：탐토저위직장암Miles술후장조구이기개방유두조기병발증적처리분석。방법：회고성분석68례직장암환자Miles수술，기중36례행일기장조구개방술，32례행이기장조구개방유두성형술，비교량조환자병발증적발생정황。결과：일기장조구개방술조병발증발생솔위38.9%，이기장조구개방유두성형술조병발증발생솔위12.5%，량조유현저성차이（P<0.01）；이기장조구개방유두성형술배편규률우우일기장조구개방술조。결론：이기장조구개방유두성형술능교대정도강저Miles수술직장암환자장조구병발증적발생。
Objective:To explore the clinical analysis of early colostomy complications after Miles surgery of sec-ondary open mamilliplasty in low position rectal carcinoma. Methods:68 cases of rectal carcinoma patients with Miles operation were retrospective analyzed, 36 cases of whom underwent first of open enterostomy, 32 cases routine sec-ondary open mamilliplasty after colostomy, compared complications of two groups. Results:First open enterostomy surgery group after colostomy complications was 38.9%, incidence of secondary open mamilliplasty after colostomy was 12.5%, there were significant difference between two groups (P<0.01);Defecation regularity of secondary open mamilliplasty after colostomy was superior to the issue of open surgery group after colostomy. Conclusion:Secondary open mamilliplasty after colostomy can largely reduce the Miles surgery in rectal carcinoma patients with intestinal colostomy complications.