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目的探讨直肠癌低位前切除术行回肠造口能否降低吻合口瘘的发生率。方法回顾性分析新野县人民医院普外科2004年4月至2010年4月间78例行直肠癌低位前切除术患者的临床资料,按是否同时行回肠造口术分为两组:A组(同时行回肠造口)38例,B组(未行回肠造口术)40例,卡方检验比较两组患者术后吻合口瘘的发生率。结果两组患者术后共发生吻合口瘘9例,其中A组1例,发生率为2.6%;B组8例,发生率为20.0%。两组患者吻合口瘘发生率比较差异有统计学意义(χ2=6.059,P=0.016)。结论直肠癌低位前切除术同时行回肠造口可能会降低术后吻合口瘘的发生率。
Objective To investigate whether low-level anterior resection of rectal cancer can reduce the incidence of anastomotic fistula. Methods A retrospective analysis of Xinye County People’s Hospital General Surgery from April 2004 to April 2010 78 cases of rectal cancer patients with low anterior resection clinical data, according to whether simultaneous ileostomy divided into two groups: A group ( 38 cases of ileostomy at the same time, 40 cases of group B (without ileostomy). The incidence of anastomotic fistula was compared between the two groups by chi-square test. Results There were 9 cases of anastomotic fistula occurred in both groups after operation, including 1 case in group A and 2.6% in group B, and 8 cases in group B with a rate of 20.0%. There was significant difference between the two groups in the incidence of anastomotic fistula (χ2 = 6.059, P = 0.016). Conclusion Concurrent rectal cancer with low anterior resection combined with ileostomy may reduce the incidence of postoperative anastomotic fistula.