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目的采用乙状结肠皮下预埋造瘘术以解决和提高晚期直肠癌术中无法切除但无明显肠梗阻或不全性肠梗阻患者的生活质量。方法常规行乙状结肠近端单口造瘘,将乙状结肠近端封闭后埋于皮下,再在距盲端15 cm处做乙状结肠近端与远端乙状结肠端-侧吻合。后期在患者出现明显肠梗阻后,将预埋皮下造瘘盲端打开即可。结果全组21例患者中未发生1例预埋处感染。后期打开预埋造瘘盲端时间为3~18个月。结论该方法可使患者生活质量明显提高,避免了二次开腹造瘘之痛苦和风险。

Citation: 黄晓明,袁晓东,梁隆斌,郭肖陵,凌士贵. THE APPLICATION OF RESERVED SUBCUTANEOUS FISTULIZATION OF SIGMOID COLON IN THE PATIENTS WITH LATE RECTAL CARCINOMA. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(3): 199-200. doi: Copy

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