腹膜瓣半隧道式造口治疗低位直肠癌的临床分析word格式论文.docxVIP

优秀毕业论文 精品参考文献资料 to excreting, whether clothes would be polluted if artificial anal bag were not used and degree of patient satisfaction to the colostomy but not on other aspect..（P0.05 or 0.01） 3. 25 patients had postoperative complications in 80 patients (31.25%) ,15 patients had colostomy complications (18.75%, 2 in the test group and 13 in the control group) and 13 patients had common complications(12.50%,4 in the test group and 6 in the control group). The incidence of general complication and the colostomy complication of the test group were lower than those of the control group.（P0.05 or 0.01） But there was no difference of the incidence of common complication between two groups.(P0.05) 4. The test group had lower reoperation rate and higher safety evaluation than the control group. (P0.05) Conclusion: In a series of 80 patients followed for at least one year after abdominoperineal excision with colostomy for low rectal cancer, semi extraperitoneal colostomies were found to have better function of sence and continence and lower incidence of complications than intraperitoneal colostomies. Key Words: semi extraperitoneal colostomies, intraperitoneal colostomies, low rectal cancer  目录 1. 引言 1 2. 试验设计 1  HYPERLINK \l _bookmark1 2.1 设计方法 1  HYPERLINK \l _bookmark2 2.2 样本量的确定 1 2.3 单盲设计 2 2.4 随机方法 2 3．临床资料 2 3.1 诊断标准及适用范围 2 3.2 病例选择与排除标准 3 3.3 一般资料 4 4．治疗方法 5 4.1 手术方法 5 4.2 术后处理方法 6 4.3 意外情况处理方法 7 5. 观察方法与指标 8 5.1 围手术期指标 8 5.2 造口感觉功能检测指标 8 5.3 造口功能客观评价指标 8 5.4 患者满意度自我评估 9 5.5 并发症比较 9 5.6 安全性评价标准 9  HYPERLINK \l _bookmark0 6. 随访方法 9  HYPERLINK \l _bookmark0 7. 统计学方法 10  HYPERLINK \l _bookmark0 8. 临床观察结果及分析 10  HYPERLINK \l _bookmark3 9．讨论 22  HYPERLINK \l _bookmark4 9.1 直肠癌的流行病学调查 22 9.2 中医学对直肠癌的认识 23 9.3 现代医学对直肠癌的认识 24 9.4 现代医学对直肠癌的手术治疗进展 25 9.5 腹壁永久性结肠造口术的发展史 26 9.6 直肠癌腹壁永久性结肠造口的现状 27 9.7 腹膜瓣半隧道式造口的优点及特色 28 9.8 问题与展望 30 10．结论 30 致谢  HYPERLINK \l _bookmark5  31 参考文献 32 在读期间公开发表的学术论文、专著及科研成果 34 附件：声明 35  H