预防性回肠造口与横结肠造口的效果比较

朱平, 朱剑飞, 朱俊强, 石骏, 张京平

朱平, 朱剑飞, 朱俊强, 石骏, 张京平. 预防性回肠造口与横结肠造口的效果比较[J]. 实用临床医药杂志, 2014, (1): 56-57,65. DOI: 10.7619/jcmp.201401017
引用本文: 朱平, 朱剑飞, 朱俊强, 石骏, 张京平. 预防性回肠造口与横结肠造口的效果比较[J]. 实用临床医药杂志, 2014, (1): 56-57,65. DOI: 10.7619/jcmp.201401017
ZHU Ping, ZHU Jianfei, ZHU Junqiang, SHI Jun, ZHANG Jingping. Effect comparison between prophylactic ileostomy and transverse colostomy[J]. Journal of Clinical Medicine in Practice, 2014, (1): 56-57,65. DOI: 10.7619/jcmp.201401017
Citation: ZHU Ping, ZHU Jianfei, ZHU Junqiang, SHI Jun, ZHANG Jingping. Effect comparison between prophylactic ileostomy and transverse colostomy[J]. Journal of Clinical Medicine in Practice, 2014, (1): 56-57,65. DOI: 10.7619/jcmp.201401017

预防性回肠造口与横结肠造口的效果比较

详细信息
  • 中图分类号: R574.6

Effect comparison between prophylactic ileostomy and transverse colostomy

  • 摘要: 目的 比较预防性回肠末端造口及横结肠造口的优缺点.方法 回顾性分析66例造口患者的临床资料,比较回肠造口与传统横结肠造口的切口长度、手术时间、恢复经口进食所需的时间、造口首次排便的时间及术后排泄量等指标.结果 回肠造口手术的切口长度为(4.2±1.5) cm,手术时间为(21.4±11.3) min;横结肠造口切口长度为(7.1±2.4) cm,手术时间为(45.5±24.8) min.回肠造口患者恢复经口进食是(1.14±0.56)d,首次经造口排便时间是(0.95±1.1)d;横结肠造口患者恢复经口进食是(3.45±1.87)d,首次排气时间是(3.87±1.5)d.结论 在无大量粪便潴留的前提下,预防性回肠末端造口效果优于传统横结肠造口.
  • Williams N S, Nasmyth DG, Jones D. De-functioning stomas:a prospective controlled trial comparing loop ileostomywith loop transverse colostomy [J]. British Journal of Surgery, 1986(7):566.
    Edwards DP, Sexton R, Moran BJ. Randomized clinical trial comparing loop ileostomy and loop transverse colostomy for faecal diversion following total mesorectal excision [J]. British Journal of Surgery, 2002, (11):1480.
    Del Rio P, Dell' Abate P, Soliani P. Defunctioning stoma in high-risk rectal anastomosis [J]. Acta Biomed, 2009(3):234.
    Antoniuk OS. Formation of interintestinal anastomosis with temporary two-barrel intestinal stoma [J]. Klinichna Khirurhiia, 2000(7):56.
    Guivarc' h M, Mosnier H, Roullet-Audy JC. Protective transverse loop colostomy associated with low colorectal anastomoses [J]. IntJ Colorectal Dis, 1997(6):340.
    Edwards D P, Leppington-Clarke A, Sexton R. Stoma-related complications are more frequent after transverse colostomy than loop ileostomy:a prospective randomized clinical trial [J]. British Journal of Surgery, 2001(3):360.
    Edwards D P, Chisholm E M, Donaldson D R. Closure of transverse loop colostomy and loop ilcostomy [J]. Annals of the Royal College of Surgeons of England, 1998(1):33.
    Sakai Y, Nelson H, Larson D. Temporary transverse colostomy vs loop ileostomy in diversion:a case-matched study [J]. Archives of Surgery, 2001(3):338.
    Nunoo-Mensah J W, Chatterjee A, Khanwalkar D. Loop ileostomy:modification of technique [J]. Surgeon, 2004(5):287.
    Flikier-Zelkowicz B, Codina-Cazador A, Farres-Coll R. Morbidity and mortality associated with diverting ileostomy closures in rectal cancer surgery [J]. Cir Esp, 2008(1):16.
    ChunL J, HaighP I, TamMS. Defunctioning loop ileostomy for pelvic anastomoses:predictors of morbidity and nonclosure [J]. Diseases of the Colon & Rectum, 2001(2):167.
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  • 发布日期:  2014-07-09

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