Analysis of application efficiencies of two types of intestinal ostomy in the treatment of elderly obstructive sigmoid colon cancer and colorectal cancer
10.3760/cma.j.issn.0254-9026.2017.02.014
- VernacularTitle:两种肠造口术在治疗老年梗阻性乙状结肠癌和高位直肠癌中的应用效果分析
- Author:
Nan LI
;
Tuo SU
;
Guodan JIANG
- Keywords:
Enterostomg;
Colonic neoplasms;
High Rectal heoplasms
- From:
Chinese Journal of Geriatrics
2017;36(2):177-179
- CountryChina
- Language:Chinese
-
Abstract:
Objectives To study application efficiencies of two types of intestinal ostomy in the treatment of elderly patients with obstructive sigmoid colon cancer and colorectal cancer.Methods 62 elderly patients with obstructive sigmoid colon cancer and rectal cancer from January 2013 to January 2016 in our hospital were chosen.The patients were divided into loop ileostomy group(n=32) and colostomy group(n=30)depending on the type of therapy.And the stage Ⅰ and Ⅱ operative time,hospital stay,postoperative fasting time and postoperative complication incidence rates were compared between the two groups.Results The postoperative fasting time was significantly shorter in loop ileostomy group than in colostomy group during stage Ⅰ surgery(2.5 ± 0.5)d vs.(4.6 ± 0.6)d(t=14.3644,P =0.0000).In stage Ⅱ surgery,the operative time,hospital stay,postoperative fasting time (2.9 ± 0.6)d vs.(4.9 ± 0.4)d,(1.4 ± 0.4)d vs.(2.5 ±± 0.3)d,(6.3± 1.4d)vs.(8.8±1.2)d were significantly lower in the loop ileostomy group than in the colostomy group(t=-15.2762、-10.9714、-7.6601,all P =0.0000).Conclusions Compared with colostomy technique,the loop ileostomy has advantages including shorter operation time,lower incidence of postoperative complications and quicker recovery after surgery for elderly patients with obstructive sigmoid colon cancer and colorectal cancer.
