Application of Modified Terminal Ileum Cannula Ileostomy in Anal Sphincter Preserving Operation for Low Rectal Cancer
Objective To explore the application effect of modified terminal ileum cannula ileostomy in a-nal sphincter preservation operation for low rectal cancer.Methods Total 71 patients with low rectal cancer who underwent anal sphincter preservation operation in our hospital from January 2020 to June 2023 were selected.According to the patient's wishes,the specific ileostomy plan was selected,and the patients were divided into control group(39 cases)and observation group(32 cases),with the same preoperative preparation and postoperative nursing program.The control group received terminal ileal loop-type ileosto-my,while the observation group received modified terminal ileum cannula ileostomy.The operative indexes of the two groups were compared,and the defecation function scale(Wexner)was used to evaluate the def-ecation function and the incidence of ostomy-related complications in the first week after operation.Re-sults There was no significant difference in operation time and intraoperative blood loss between the two groups(P＞0.05).The first exhaust time and the first feeding time after operation in the observation group were shorter than those in the control group(P＜0.05).The Wexner score of the observation group was lower than that of the control group(P＜0.05).The incidence of anastomotic leakage in the control group was 17.95％,and 3.13％in the observation group,which was significantly lower in the ob-servation group than in the control group(P＜0.05).The total incidence of complications in the control group was 25.64％,and 15.63％in the observation group,which was lower in the observation group than in the control group,but there was no significant difference(P＞0.05).Conclusion The modified ter-minal ileum cannula ileostomy in the anal sphincter preservation operation for low rectal cancer has good clinical effect,not only can accelerate the rehabilitation process of patients and improve their defecation function,but also can reduce the risk of anastomotic leakage.
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