CAJ | 학술논문

目的：探讨低位直肠癌保肛手术中双吻合术联合保护性回肠造口的疗效。方法选择低位直肠癌患者116例，将行双吻合术联合保护性回肠造口的低位直肠癌保肛手术的65例患者纳入研究组，将同期行双吻合术且未进行保护性回肠造口的低位直肠癌保肛手术的51例患者纳入对照组，对比两组患者术后进食恢复时间，住院时间和并发症情况。结果两组患者术后恢复进食时间和住院时间差异均有统计学意义，P＜0．05；研究组患者术后吻合口漏发生率为4．6％，低于对照组（11．8％）；研究组吻合口狭窄，类型均为膜性狭窄，对照组4例出现瘢痕狭窄。结论低位直肠癌行双吻合保肛手术后加保护性的回肠造口可以显著降低吻合口漏和吻合口狭窄的发生率。
목적：탐토저위직장암보항수술중쌍문합술연합보호성회장조구적료효。방법선택저위직장암환자116례，장행쌍문합술연합보호성회장조구적저위직장암보항수술적65례환자납입연구조，장동기행쌍문합술차미진행보호성회장조구적저위직장암보항수술적51례환자납입대조조，대비량조환자술후진식회복시간，주원시간화병발증정황。결과량조환자술후회복진식시간화주원시간차이균유통계학의의，P＜0．05；연구조환자술후문합구루발생솔위4．6％，저우대조조（11．8％）；연구조문합구협착，류형균위막성협착，대조조4례출현반흔협착。결론저위직장암행쌍문합보항수술후가보호성적회장조구가이현저강저문합구루화문합구협착적발생솔。
Objective To investigate the efficacy of double anastomosis and protective ileostomy for low colorectal canc-er treated with Anus-preserving operation.Methods 116 cases of low colorectal cancer were selected.65 patients who underwent double anastomosis joint protective ileostomy were the study group,and 51 patients who underwent double anastomosis were the control group.Eating recovery time,hospital stay and complications of the 2 groups were compared.Results There had statisti-cally significant differences in postoperative eating recovery time and hospital stay of the 2 groups,P<0.05.The postoperative anastomotic leakage rate of the study group was 4.6%,which was less than that of the control group 11.8%.The anastomotic stricture type in the study group was membranous stenosis,and 4 cases of stenosis scar in the control group.Conclusion Double anastomosis and protective ileostomy for low colorectal cancer treated with anus-preserving operation can significantly reduce anas-tomotic leakage and anastomotic stricture rate.