| Objective:To analyze the occurrence of defecation complications,rectal function and quality of life indicators after collecting stoma drainage fluid for anal re-infusion in patients after protective ileostomy for mid-low rectal cancer conserving surgery,so as to evaluate the impact of collecting stoma drainage fluid for anal re-infusion on patients’ bowel function recovery.Methods:26 patients who received preventative ileostomy and anus-preserving surgery with laparoscopic assistance for low to medium rectal cancer between February 2022 and September 2022 at the First Hospital of Jilin University were chosen to participate in the study.In the experimental group of 13 patients,data collection(fecal flora sequencing,Glazer pelvic floor surface electromyographic assessment,LARS functional questionnaire assessment)was performed before rectal cancer surgery,and1 month after rectal cancer surgery,when no risk factors(anastomotic stricture,anastomotic fistula)were reviewed,collection of stoma drainage fluid for anal reintroduction was started and stopped twice a week until one week before reintroduction,and data collection was performed again before admission to the hospital for reintroduction surgery.Data collection(fecal flora sequencing)was performed again before admission to the hospital for rejection surgery.The final data collection(fecal flora sequencing,Glazer pelvic floor surface electromyography assessment,LARS functional questionnaire assessment)was performed 1 month after the routine rejection surgery.The control group was 13 without anal reversion and the rest was the same as the experimental group.The primary outcome indicator was the improvement of LARS at 1 month after return,expressed as number of cases(percentage),and the Fisher’s exact probability method was used to compare the differences between the experimental and control groups.Secondary outcome indicators are flora species results and pelvic floor surface area electrical assessment.The colony results were tabulated using bar charts comparing the differences in colony composition between the top 10 in abundance between subgroups.Using the ttest or a non-parametric rank sum test,the differences between the experimental and control groups were compared for the pelvic floor surface discharge.Results:The control group did not significantly alter before and after surgery,but the experimental group’s slow muscular strength and chronic muscle endurance increased(P < 0.05).Prior to surgery,there was no discernible difference between the experimental group and the control group,and the postoperative experimental group’s rapid muscular strength and chronic muscle strength were higher than those of the control group(P < 0.05).The experimental group’s chance of a drop in LARS questionnaire score was 76.9%,compared to 7.7% for the control group.In this study,the exact probability method of the Fisher is obviously better than the control group(P <0.001).Patients in the experimental group also decreased the bacterial cluster of the mobilizer,the genus of the genus,and the stray bacteria after the surgery.After the surgery,it is mainly reduced to decrease the bacterial cluster of the lines,dehydrated vibronicus,Rocib,and Actorbacidiae,and Mobilus,and giant single cells.PCOA analyzes that the differences in flora in the control group are more significant.The analysis of species differences between T-TEST groups in the level also obtained more complicated changes in the control groups in the control group.There are variances in the flora in different types of samples,and the flora illnesses are more severe.Conclusions:The collection of stoma drainage fluid for anal re-infusion in patients who underwent anal preservation surgery with prophylactic stoma for medium to low rectal cancer has a beneficial effect on the recovery of postoperative bowel function,and is also conducive to the correction of postoperative intestinal flora disorders. |
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