【摘要】：目的:比較4種量表對(duì)于低位直腸癌行預(yù)防性回腸造口還納術(shù)后肛門功能評(píng)價(jià)的一致性、可行性及影響肛門功能的因素的初步探究。方法:選取2013年10月—2015年11月青島大學(xué)附屬醫(yī)院黃島院區(qū)普外科收治的行直腸癌根治術(shù)+預(yù)防性回腸造口術(shù)術(shù)后行回腸造口還納的89例患者,通過Wexner量表,Vaizey量表,Pescatori量表,AMS量表對(duì)于回腸造口還納術(shù)1、3、6及12月后的患者的肛門功能的評(píng)價(jià)。結(jié)果:1、TNM分期I期、II期與III期、IV期病人4種量表肛門功能評(píng)分差異均無統(tǒng)計(jì)學(xué)意義(P0.05);2、腫瘤位置越靠近肛緣,術(shù)后肛門功能恢復(fù)時(shí)間越長(zhǎng),肛門功能恢復(fù)情況越差;3、大多數(shù)患者肛門控制稀便的能力于術(shù)后3月恢復(fù),控制排氣的能力在術(shù)后6月恢復(fù);4、4種量表對(duì)于肛門功能的評(píng)價(jià)具有一致性。結(jié)論:wexner量表,vaizey量表,pescatori量表,AMS量表,4種量表表評(píng)估病人肛門功能具有較好的一致性和可行性。。
[Abstract]:Objective: to compare the consistency, feasibility and influencing factors of anal function with four scales for low rectal cancer after prophylactic ileostomy. Methods: from October 2013 to November 2015, 89 patients with rectal cancer undergoing radical ileostomy and ileostomy were treated in Huangdao Hospital, Qingdao University, from October 2013 to November 2015. The anus function of patients undergoing ileostomy surgery was evaluated by Wexner and Pescatori scale. Results there was no significant difference in anal function scores between patients with stage I and stage IV of TNM stage I and III stage IV (P0.05). The closer the tumor was to the anal margin, the longer the recovery time of anal function was. The worse the recovery of anal function was, the more the ability of anal control of dilute stool recovered in 3 months after operation, and the ability to control exhaust recovered in 6 months after operation. 4 scales showed consistency in the evaluation of anal function. Conclusion there is good consistency and feasibility in evaluating anal function of patients with Vaizey's vaizey scale and pescatori scale / AMS scale.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R735.37

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1 趙曉堂;4種量表對(duì)于低位直腸癌行預(yù)防性回腸造口還納術(shù)患者肛門功能的評(píng)價(jià)[D];青島大學(xué);2016年

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