论文部分内容阅读
目的探讨预防性末段回肠造瘘在急诊直肠一期切除吻合术中的应用价值。方法回顾性分析2003-09-2010-09在28例急诊直肠一期切除吻合术中行预防性行末段回肠双口造瘘患者临床资料。结果 28例均顺利完成手术,无围手术期死亡患者。术后吻合口瘘1例,保守治疗后痊愈出院。结论急诊直肠一期切除吻合手术中常规预防性末段回肠双腔造瘘降低了术后吻合口瘘的风险,降低死亡率,值得推广。
Objective To investigate the value of prophylactic distal ileostomy in the first stage rectal anastomosis. Methods Retrospective analysis of 2003-09-2010-09 28 cases of emergency rectal anastomosis in the line of prophylactic end-stage double ileostomy patients clinical data. Results 28 cases were successfully completed surgery, no perioperative deaths. One case of anastomotic fistula was cured and discharged after conservative treatment. Conclusion The routine prophylactic distal ileal double-compartment ostomy in the first stage of rectal resection and anastomosis reduces the risk of postoperative anastomotic fistula and reduces the mortality, which is worthy of popularization.