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目的探讨结肠造口术中使用吻合器的技巧及优点。方法对2002年5月至2008年5月应用管形吻合器进行结肠造口术的36例患者就手术方法及并发症进行回顾性分析及随访。结果36例病例其中行Miles手术29例,Hartmann手术5例,单纯结肠造瘘术2例,术后人工肛门无出血、无坏死、无狭窄。结论应用吻合器进行结肠人工造口,手术简单,人工肛门形态美观,具有并发症少,护理方便等优点。
Objective To explore the techniques and advantages of using anastomat in colostomy. Methods Thirty-six patients undergoing colostomy with a tube stapler from May 2002 to May 2008 were retrospectively analyzed and followed up for surgical procedures and complications. Results Among the 36 cases, 29 cases underwent Miles operation, 5 cases underwent Hartmann operation and 2 cases underwent simple colostomy. The postoperative artificial anus had no hemorrhage, no necrosis and no stenosis. Conclusions Stapler with artificial stapler is easy to operate and has beautiful appearance of artificial anus with less complications and convenient nursing.