乙状结肠造口术并发症73例分析  

A Clinical Analysis of 73 Cases of Complications Caused by Sigmoidostomy

作　　者：孙鑫荣[1] 陈钟秀[1] 

机构地区：[1]湖州市第一人民医院,湖州313000

出　　处：《浙江肿瘤》1998年第4期213-214,共2页

摘　　要：（目的）探讨乙状结肠造口术并发症的防治。（方法）1985年至1995年间进行了202例乙状结肠造口术。（结果）与造口有关的并发症73例，包括造口周围炎35例、造口狭窄21例、造口结肠旁疝6例、造口出血4例、造口肠管回缩3例、造口肠管脱垂2例、造口肠管坏死2例。73例并发症病人经治疗均痊愈出院。（结论）重视手术操作能降低并发症的发生率，术后加强观察和护理，早期发现和处理是提高治疗成功率的关键。[Purpose] To investigate the managment and prevention of the complications caused by sigmoidostomy. [Method] Sigmoidostomy was performed in 202 cases from 1985 to 1995. [Results] Seventy-three cases with complications related to ostiumoccured including 35 cases of peri-ostium infection, 21 cases of stricture of stoma, 6 cases of hernia adjacent to the ostium, 4 casesof hemorrhage of ostium, 3 cases of retraction of ostium, 2 cases of sigmoid prolapse, 2 cases ischemic necrosis of ostium. These patients all recovered after treating. (Conclusion] The operative skill is important to reduce the complications. Paying more atten-tion to discover and treat complications earlier is the key to success.

关 键 词：乙状结肠造口术 并发症 预防 治疗 

分 类 号：R656.9[医药卫生—外科学] R657.1[医药卫生—临床医学]