直肠癌术后两种引流方式的临床效果分析.doc

直肠癌术后两种引流方式的临床效果分析， 马利安 浙江余姚市人民医院 肛肠外科 315400 目的：探讨直肠癌术后经骶前腹膜外引流方和经骶前会阴引流的临床效果。方法： 176例直肠癌手术患者分为2组，分别采用经骶前腹膜外引流方法（经腹组）和经骶前会阴引流的方法（经阴组）。观察两组患者术后恢复情况和术后近期并发症的发生情况。结果：经腹组患者的疼痛持续天数显著少于经阴组（P 0.05）。经腹组发生切口感染和盆腔感的发生率低于经阴组（P 0.05）。结论：与经骶前会阴引流的方法相比较，经骶前腹膜外引流方法能够更好的促进患者康复，减少术后并发症。 【关键词】 直肠癌 引流 治疗 The Curative Effects of 2 Drainage Methodst after Operation for Rectal Cancer Patients Ma LA, 315400, Analogy Department in People’s Hospital of Yuyao City in Zhejiang Province Abstract: Objective To explore the curative effects of drainage through abdomen or through perinaeum after operation for rectal cancer patients. Methods 176 rectal cancer patients after operations were divided into 2 groups and treated with drainage through abdomen or through perinaeum respectively. The recovery and the complications were observed. Results The pain lasted more shortly of the drainage through abdomen group than that of drainage through perinaeum P 0.05 . Also there was a statistical difference（P﹤0.05）between the two groups in the infection of draining incision and pelvic cavity. Conclusion Compared with drainage through perinaeum，drainage through abdomen has a better effect on the health of the patients’ and reduction of the complications. Key words: rectal cancer drainage treatment 直肠癌（rectal cancer）是胃肠道中常见的恶性肿瘤, 其发病率仅次于胃和食道癌是大肠癌的最常见部分（占６5％左右）绝大多数病人在３０岁以上４０岁以下男性较多见男女之比为２-３:１由于成因和症状的相似，直肠癌通常和结肠癌被一同提及。直肠慢性炎症直肠癌是一种生活方式病饮食和生活方式上海康丽医用材料有限公司±s的形式表示，两组指标的差异采用两独立样本的t检验；两组患者引流管切口感染、吻合口瘘、吻合口出血、盆腔感染的发生率采用Person X2检验。检验水准均为α 0.05。 2 结果 2.1患者康复情况 两组患者的术后康复情况见图1和图2。经过统计分析，我们发现经腹组患者的疼痛持续天数显著少于经阴组（P 0.05）。相比较于经阴组，经腹组患者的住院天数、引流天数和总引流量的平均值均较小，但是尚无统计学意义。 图1 两种引流方式对住院天数、引流天数和疼痛持续时间的影响 Figure 1 Hospitalization time, drainage time and pain time under the 2 drainage methods 统计方法采用两样均数比较的t检验 P 0.05, comparation between the 2 groups. The statistical analysis is the student’s method. 图2 两种引流方式术后引流量的比较 Figure 2 Comparison of the quantity of the 2 groups 统计方法采用两样均数比较的t检验 The statistical analysis is the student’