乙状结肠两种造口方式术后排便功能及并发症的观察和对比  

Analysis of stomal function and complications of two different sigmoid colostomies

作　　者：李培[1] 郭云[2] 唐宗江[2] 

机构地区：[1]广西田东县人民医院普外科,531500 [2]广西医科大学第一附属医院结直肠外科

出　　处：《腹部外科》2007年第5期301-302,共2页Journal of Abdominal Surgery

摘　　要：目的对两种乙状结肠造口术后造口功能及并发症进行观察对比。方法回顾性分析我们自1996年～2006年行Miles手术腹壁永久性造口512例的临床资料。结果经腹膜外结肠造口288例,发生造口并发症23例,并发症发生率为7.99%;经腹膜内结肠造口224例,发生造口并发症76例,并发症发生率为33.93%。经腹膜外结肠造口者术后2年造口功能优良率为56.25%,经腹膜内结肠造口者为30.80%(P<0.01)。结论经腹膜外结肠造口功能恢复及术后并发症发生率均优于经腹膜内结肠造口。To analyze the stomal function and complications of two different sigmoid colostomies. Methods Retrospective analysis of 512 cases of permanent stoma after Miles operation from 1996 to 2006 was done. Results In 288 cases of extroperitoneal colostomy, stomal complications occurred in 23 cases（7.99%）. In 224 cases of transperitoneal colostomy, stomal complications occurred in 76 cases（33.93%）. The excellent and good rate was 56. 25 ~//0 in extroperitoneal colostomy group and 3t）. 80% in transperitoneal colostomy group respectively（P〈0.01）. Conclusion Complication incidence was lower and the stomal function was better after extroperitoneal colostomy than that atter transperitoneal eolostomy.

关 键 词：结肠造口术 功能恢复 手术后并发症 对比研究 

分 类 号：R753.37[医药卫生—皮肤病学与性病学]