Department of Colorectal Anal Surgery, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, No. 60 Jingzhong Road, Jingzhou, 434020, Hubei Province, China.
Department of Respiratory and Critical Care Medicine, Jingzhou Central Hospital, The Second Clinical Medical College, Yangtze University, Jingzhou, 434020, Hubei Province, China.
Sci Rep. 2021 Apr 27;11(1):9101. doi: 10.1038/s41598-021-88674-x.
To compare the clinical results of patients with low rectal cancer who underwent skin bridge loop ileostomy and traditional loop ileostomy, and provide clinical evidence for choosing a better ostomy method. We retrospectively collected data of 118 patients with rectal cancer who underwent low anterior resection and loop ileostomy. To investigate the patients characteristics, postoperative stoma-related complications and the frequency of exchanged ostomy bags. The differences of these indicators between the two groups of patients who underwent skin bridge loop ileostomy and traditional loop ileostomy were compared. The Visual Analog Scale (VAS) score of the skin bridge loop ileostomy group was lower than that of the traditional ileostomy loop group (P < 0.05). The skin bridge group had a lower Discoloration, Erosion, Tissue overgrowth (DET) score and incidence of mucocutaneous separation than the traditional group at the 1st and 2nd weeks after operation (P < 0.05). The average number of weekly exchanged ostomy bags was significantly less in the skin bridge group than in the traditional group within 4 weeks after surgery (P < 0.05). Our experience demonstrates that the skin bridge loop ileostomy may significantly reduce early postoperative stoma-related complications, the frequency of exchanged ostomy bags and patients' medical costs after discharge.
为了比较行皮肤桥袢式回肠造口术和传统袢式回肠造口术的低位直肠癌患者的临床效果，为选择更好的造口方法提供临床依据。我们回顾性收集了 118 例行低位前切除术和回肠造口术的直肠癌患者的数据。调查患者的一般特征、术后造口相关并发症和更换造口袋的频率。比较两组行皮肤桥袢式回肠造口术和传统袢式回肠造口术患者的这些指标的差异。皮肤桥袢式回肠造口组的视觉模拟量表（VAS）评分低于传统回肠造口组（P<0.05）。皮肤桥组在术后第 1、2 周的变色、侵蚀、组织过度生长（DET）评分和黏膜分离发生率均低于传统组（P<0.05）。术后 4 周内，皮肤桥组每周更换造口袋的平均次数明显少于传统组（P<0.05）。我们的经验表明，皮肤桥袢式回肠造口术可显著减少术后早期与造口相关的并发症、更换造口袋的频率以及患者出院后的医疗费用。
