CAJ | 학술논문

分析自2005年1月至2012年4月78例行预防性肠造口术患者的临床资料,其中采用传统预防性肠造口术52例(A组)、预防性T形肠造口术26例(B组),造口回纳局限于腹壁不需进入腹腔.A组与B组的造口回纳手术时间分别为(98±16)和(52±9) min,住院时间分别为(15.3±5.2)和(9.5±2.3)d(均P＜0.05).提示,预防性T形肠造口的手术方式可靠,具有造口回纳手术创伤小、恢复快等优点,有一定的临床应用价值.
분석자2005년1월지2012년4월78례행예방성장조구술환자적림상자료,기중채용전통예방성장조구술52례(A조)、예방성T형장조구술26례(B조),조구회납국한우복벽불수진입복강.A조여B조적조구회납수술시간분별위(98±16)화(52±9) min,주원시간분별위(15.3±5.2)화(9.5±2.3)d(균P＜0.05).제시,예방성T형장조구적수술방식가고,구유조구회납수술창상소、회복쾌등우점,유일정적림상응용개치.
To apply preventive T-shaped enterostomy in protective defunctioning stoma.Technique of enterostomy closure was only made in abdominal wall rather than abdominal cavity.A total of 78 patients undergoing protective ostomy from January 2005 to April 2012 were divided into two groups of routine enterostomy (group A,n =52) and protective T-shaped enterostomy (group B,n =26).The length of operation and average hospital stay in group A with stoma closure were(98 ± 16) min and (15.3 ± 5.2)days while those of group B (52 ± 9) min and (9.5 ± 2.3) days.The inter-group differences were statistically significant respectively (P ＜ 0.05).Therefore protective T-shaped enterostomy,showing advantages in operative skills,operative trauma and postoperative recovery time,is an effective technique and its application should be further promoted.