CAJ | 학술논문

目的：探讨末段回肠造瘘对比结肠造瘘的优势。方法将近年行预防性结肠造瘘和末段回肠造瘘的患者分为两组，比较两组患者的一般资料、吻合口或修补口瘘发生率、关瘘方式、关瘘手术时间、切口感染率。结果两组患者的一般资料无统计学差异（P＞0.05），两组间吻合口或修补口瘘的发生率无统计学差异（P＞0.05），回肠造瘘组关瘘手术时间明显短于结肠造瘘组时间（P＜0.05），回肠造瘘组关瘘术后切口感染率明显低于结肠造瘘组（P＜0.05）。结论在预防性造瘘手术治疗中，末段回肠造瘘相比结肠造瘘具有较多的优势，推荐临床首选。
목적：탐토말단회장조루대비결장조루적우세。방법장근년행예방성결장조루화말단회장조루적환자분위량조，비교량조환자적일반자료、문합구혹수보구루발생솔、관루방식、관루수술시간、절구감염솔。결과량조환자적일반자료무통계학차이（P＞0.05），량조간문합구혹수보구루적발생솔무통계학차이（P＞0.05），회장조루조관루수술시간명현단우결장조루조시간（P＜0.05），회장조루조관루술후절구감염솔명현저우결장조루조（P＜0.05）。결론재예방성조루수술치료중，말단회장조루상비결장조루구유교다적우세，추천림상수선。
Objective Discussion on the terminal ileum stoma colostomy advantages contrast.Method the colon ifstula and terminal ileum stoma patients in recent years for the prevention of divided into two groups, compared two groups of patients with general information, anastomotic ifstula incidence or repair, close theT ifstula, ifstula, operation time way closed the incision infection rate.Result No statistically signiifcant differences between the two groups of patients with general information(P>0.05), between the two groups of anastomotic ifstula or repair the occurrence rate showed no signiifcant difference(P>0.05), ileostomy group close fistula operation time is obviously shorter than colostomy group(P<0.05), was significantly lower than the colostomy infection of incision ifstula group group close the ifstula after the operation of ileum(P<0.05).Conclusion In the prevention of ifstula operation in the treatment of terminal ileum stoma, compared with colostomy has more advantages, recommended clinical choice.