摘要
目的:探讨分析直肠癌患者低位前切除术(Low anterior resection,LAR)后经盆膈肛门旁引流与经腹膜后腹壁引流的应用效果。方法:本研究采用前瞻性随机对照方法,纳入医院2020年6月至2021年6月112例直肠癌患者作为研究对象,经入选标准筛选剔除12例,最终纳入研究100例。随机分为对照组和观察组,各50例。对照组在LAR术后选择经盆膈肛门旁引流,观察组在LAR术后选择经腹膜后腹壁引流。观察两组术后即刻至出院时的引流管管周、引流物情况和并发症发生情况。结果:观察组的管周疼痛时间、红肿时间及分泌物持续时间均短于对照组(P<0.05);观察组的引流物持续时间、拔出引流管时间短于对照组,且引流物总量低于对照组(P<0.05);观察组的感染发生率低于对照组(P<0.05);两组其他并发症发生率对比(P>0.05)。结论:相比于经盆膈肛门旁引流,在直肠癌患者LAR术后选择经腹膜后腹壁引流的效果更好,更有利于患者术后恢复,且并发症发生率低,安全性好。
Objective:To investigate and analyze the application effect of pelvic diaphragmatic paranal drainage and retroperitoneal abdominal wall drainage after low anterior resection(LAR)in patients with rectal cancer.Methods:A prospective randomized control method was used in this study.112 patients with rectal cancer were included in the hospital from June 2020 to June 2021 as the study subjects.12 patients were screened out by the inclusion criteria,and 100 patients were finally included in the study.They were randomly divided into control group and observation group,50 cases each.In the control group,pelvic diaphragmatic paranal drainage was selected after LAR,and in the observation group,retroperitoneal abdominal wall drainage was selectedafter LAR.The drainage tube circumference,drainage materials and complications of the two groups from immediately after operation to discharge were observed.Results:The time of peritubular pain,redness and swelling,and the duration of secretions in the observation group were shorter than those in the control group(P<0.05).The duration of drainage and the time of pulling out the drainage tube in the observation group were shorter than those in the control group,and the total amount of drainage was lower than that in the control group(P<0.05).The incidence of infection in the observation group was lower than that in the control group(P<0.05).The incidence of other complications was compared between the two groups(P>0.05).Conclusion:Compared with the pelvic diaphragmatic paranal drainage,the retroperitoneal abdominal wall drainage is better for rectal cancer patients after LAR,and is more conducive to postoperative recovery,with low complication rate and good safety.
作者
方孟园
Fang Meng-yuan(Department of General Surgery,Xinyang Central Hospital,Xinyang 464000,Henan,China)
出处
《四川生理科学杂志》
2023年第9期1608-1610,1676,共4页
Sichuan Journal of Physiological Sciences
关键词
直肠癌
低位前切除术
引流方式
经盆膈肛门旁引流
经腹膜后腹壁引流
Rectal cancer
Low anterior resection
Drainage mode
Pelvic diaphragmatic paranal drainage
Retroperitoneal abdominal wall drainage
