摘要
目的探讨腹膜外乙状结肠造口在腹腔镜Mile手术中的临床应用。方法回顾性分析2003年至2011年施行腹腔镜Mile手术腹膜外乙状结肠造口术28例临床资料（实验组），并与同期腹腔镜Mile手术行腹膜内乙状结肠造口术32例（对照组）进行比较。结果腹腔镜Mile手术腹膜外乙状结肠造口较腹膜内乙状结肠造口术后并发症发生率明显下降（t=4．391，P〈0．05），排便获得感腹膜外组高于腹膜内组（41．7％VS20．0％，P〈0．05）。结论在腹腔镜直肠癌Mile手术中行腹膜外乙状结肠造口能显著减少造口并发症和增加排便获得感。
Objective To discuss the clinical application of extraperitoneal sigmoid colostomy in laparoscopie Miles surgery. Method The clinical data of 60 patients who underwent laparoscopie abdomi- noperineal resection from 2003 to 2011 were retrospectively analysed. The experimental group contains 28 patients who accepted extraperitoneal sigrnoid colostomy. And the control group contains 32 patients under- went transperitoneal sigmoid colostomy. Result The ratio of eolostomy-related complications was obviously lower in patients with laparoscopic extraperitoueal sigmoid colostomy（t =4.391 ,P 〈0.05）. And higher ra- tio of defecation sensation is observed in the extraperitoneal group compared with the transperitoneal group （41.7% vs 20.0% ,P 〈 0.05 ）. Conclusion Extraperitoneal sigmoid eolostomy in the operation of Miles may reduce colostomy-related complications and increase the defecation sensation.
出处
《临床外科杂志》
2013年第7期525-526,共2页
Journal of Clinical Surgery
