32x72 means the RAM has 72 data bits.
Motherboards have 64bit RAM slots, for, naturally, 64bit memory.
Newer boards can have dual channel 128bit RAM, which combines 2 64 bit channels to make a 128bit channel, doubling the bandwidth.
That's not really relevant though.
That RAM has 72 bits (not 64), so it's not like regular RAM.
Most RAM has 8 little chips on each side of the stick, which each have a bit of memory on them, which when combined gives the stick its RAM (256MB in this case).
A stick with ?? x 72 has 9 chips on the side, not the usual 8.
64/8 is 8
72/8 is 9
This extra piece on the RAM is for error checking and correcting (ECC), to make sure nothing goes wrong with the data that passes through the RAM.
For most users ECC RAM (72 bit) is not needed, and it doesn't function on all motherboards, as they do not support it. It is mainly used in servers which need to make sure that nothing goes wrong, including errors in any data that passes through the RAM.
ECC RAM also slows down performance slightly, and holds a price premium over normal RAM (64 bit).
You should only really think of ECC RAM if you have a motherboard with 4 RAM slots that you want to fill all of, or if you are looking to have probably 2 gigabytes or more of RAM in your system.
Other than that, you should go for a 256MB 32x64 stick, as it will be cheaper and there will not be any other difference for you.