经腹会阴直肠癌术后肠梗阻行结肠造口灌肠治疗的临床研究

评价吸痰管灌肠治疗经腹会阴直肠癌术后肠梗阻的可行性与临床疗效。一次性吸痰管经结肠造口灌肠或肛管经结肠造口灌肠治疗38例经腹会阴直肠癌术后肠梗阻。结果20例吸痰管灌肠治疗组均安全放置或减压，其操作成功率为100％（20/20）。吸痰管灌肠治疗组大部分患者腹痛、腹胀明显缓解，并腹围、X线肠管最大直径、C T肠管最长液平明显小于灌肠前，差异有统计学意义（P＜0．05）。吸痰管灌肠治疗组明显优于肛管灌肠组。一次性吸痰管经结肠造口灌肠治疗经腹会阴直肠癌术后肠梗阻的操作技术是安全的、可行的，并吸痰管经结肠造口灌肠是治疗经腹会阴直肠癌术后肠梗阻的有效方法。

The Clinical Study of Enema Treatment Via Colostomy for Complicated Intestinal Obstruction after Abdominoperineal Resection for Rectal Cancer

To explore the feasibility and clinical efficacy of mucous extractor enema treatment per stoma of colon after abdominoperineal resection （APR） for rectal cancer .Thirty-eight cases with complicated intestinal obstruction after APR for rectal cancer were treated by mucous extractor or conventional enemator . Twenty cases mucous extractor enema treatment group were all treated by security insertion or decompression ,and total technical success rate was 100% （20/20） .Abdominal pain and distention of most cases were relieved ,and abdominal circumferences ,intestinal maximum diameter ,and intestinal maximum gas-fluid level were statistically significantly reduced after mucous extractor enema with conventional enemator group （P＆lt;0 .05） .Mucous extractor enema treatment group is markedly superior to conventional enemator treatment group .Mucous extractor enema treatment per stoma of colon after APR for rectal cancer is technically safe and feasible compared with control group .Inserted mucous extractor per stoma of colon can enhance the therapeutic effects in the after APR for rectal cancer .