Objective To investigate the clinical contrast effects of colonic J pouch anastomosis and transverse colonic pouch anastomosis for the rectal sacral anterior resection. Methods 120 patients with rectal cancer were equally divided into the treatment group and the control group according to different surgical techniques, each group had 60 cases, all cases firstly were given rectal sacral anterior resection, and then the control group were given with colonic J-pouch anastomosis and the treatment group were given with colon transverse pouch anastomosis. The mean time of operation, intraoperative blood transfusion, hospitalization time, the complication and the risk of rectal inhibitory reflex were observed and compared. Results The mean time of operation, intraoperative blood transfusion and hospitalization time of the treatment group were significantly less than the control group (P < 0.03). The complication contrast between the two groups had no significant difference {P < 0.05}. After 6 months, the risk of rectal inhibitory reflex of treatment group was significantly higher than control group (P < 0.05). Conclusion Compared with colonic J pouch surgery, colon transverse pouch anastomosis for rectal cancer sacral anterior resection can effectively reduce the trauma, promote the recovery of postoperative anorectal function.%目的 探讨结肠J型贮袋吻合与结肠横行贮袋吻合应用于直肠癌骶前切除术的临床对比效果.方法 120例直肠癌患者根据手术方法的不同分为治疗组与对照组各60例,两组首先都采用直肠癌骶前切除术,然后对照组采用结肠J形贮袋吻合,治疗组采用结肠横行贮袋吻合.记录两组平均手术时间、术中输血量、住院时间、并发症发生情况及出现直肠抑制反射的几率.结果 治疗组的平均手术时间、术中输血量和住院时间均明显少于对照组(P＜0.05).两组并发症发生情况比较差异均无统计学意义(P＞0.05).术后6个月,治疗组出现直肠抑制反射的几率明显高于对照组(P＜0.05).结论 结肠横行贮袋吻合应用直肠癌骶前切除术能有效减少创伤,促进创伤恢复,同时促进术后肛门直肠功能的恢复.
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