乙状结肠腹膜外造口一期乳头成形术与腹膜内结肠造口术在Miles手术中的应用及比较.docx

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乙状结肠腹膜外造口一期乳头成形术与腹膜内结肠造口术在Miles手术中的应用及比较

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【摘要】目的比较乙状结肠腹膜外造口一期乳头成形术和腹膜内结肠造口术在Miles手术治疗中的应用效果，为合理手术方式的选择提供依据。方法收集2017年2月至2019年2月50例来我院接受Miles术治疗的患者作为研究对象，25例患者接受乙状结肠腹膜外造口一期乳头成形术，作为观察组，25例患者接受腹膜内结肠造口术进行治疗，作为对照组，比较两组患者术后并发症发生率、生活质量和排便功能。结果观察组术后并发症发生率明显低于对照组，P0.05；观察组术后QOL评分明显高于对照组，P0.05；观察组中21例患者术后获排便感，占比84.00%，对照组中7例患者术后获排便感，占比28.00%，P0.05。结论乙状结肠腹膜外造口一期乳头成形术可有效降低患者接受Miles术后并发症发生率，对于提高患者术后生活质量和排便功能的恢复效果显著，值得推广应用。

【关键词】Miles手术；乳头成形术；结肠造口术

[Abstract]objectivetocomparetheefficacyofprimarypapilloplastywithextraperitonealcolostomyforsigmoidcolonandintraperitonealcolostomyinMilessurgicaltreatment,soastoprovidethebasisfortheselectionofreasonablesurgicalmethods.MethodcollectedinFebruary2017toFebruary2019forthetreatmentof50casestothehospitaltoaccepttheMilesofpatientsastheresearchobject,25patientsunderwentsigmoidcolonextraperitonealcolostomyissueofnippleangioplasty,asobservationgroup,25patientsunderwentperitonealcolostomyintreatment,asthecontrolgroup,comparedtwogroupsofpatientswithpostoperativecomplications,qualityoflifeanddefecationfunction.Resultstheincidenceofpostoperativecomplicationsintheobservationgroupwassignificantlylowerthanthatinthecontrolgroup(P0.05).ThepostoperativeQOLscoreoftheobservationgroupwassignificantlyhigherthanthatofthecontrolgroup(P0.05).Intheobservationgroup,21patientshadpostoperativedefecationsensation,accountingfor84.00%,whileinthecontrolgroup,7patientshadpostoperativedefecationsensation,accountingfor28.00%,P0.05.ConclusionprimarypapilloplastywithanextraperitonealsigmoidcolostomycaneffectivelyreducetheincidenceofcomplicationsafterMiles,andhasasignificanteffectonimprovingpatientspostoperativequalityoflifeandrecoveryofdefecationfunction,whichisworthyofpromotionandapplication.

【Keywords】Mi