结肠造瘘术后狭窄伴结肠梗阻的原因分析  

Causes analysis of stenosis and intestinal obstruction after colostomy operation

作　　者：赵保成[1] 杜洪涛[1] 邵国庆[1] 郭永团[1] 徐元顺[1] 田庆忠[2] 李德春[1] Zhao Baocheng;Du Hongtao;Shao Guoqing;Guo Yongtuan;Xu Yuanshun;Tian Qingzhong;Li Dechun(Department of radiology,Xuzhou Affiliated Hospital, Southeast University, Xuzhou 221009, China;Department of surgery oncology, Xuzhou Affiliated Hospital, Southeast University, Xuzhou 221009, China)

机构地区：[1]东南大学附属徐州医院放射科,221009 [2]东南大学附属徐州医院肿瘤外科,221009

出　　处：《中华结直肠疾病电子杂志》2015年第6期661-663,共3页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：江苏省徐州市科技局课题资金资助项目(XZZD1353)

摘　　要：目的探讨结肠造瘘术后伴结肠梗阻的原因及预防措施。方法回顾性分析27例结肠造瘘术后狭窄伴结肠梗阻的患者的临床病史及经造瘘口造影的影像资料,分析结肠造瘘术后伴结肠梗阻的发生原因。结果 27例患者中,瘘口出口狭窄16例,瘘口内腔狭窄11例,其中术后瘘口感染21例、瘘口出血4例、瘘口回缩1例、瘘口脱垂1例。结论结肠造瘘术后狭窄伴结肠梗阻主要由于术后出现局部并发症造成,术后应及时观察,预防是关键。Objective To explore the causes of intestinal obstruction and preventive measures after colostomy operation. Methods To retrospective analysis of 27 patient's clinical history and the fistula angiography image data, who had postoperative stenosis and intestinal obstruction, and to analysis the causes of postoperative stenosis and intestinal obstruction. Results Of the 27 patients, 16 cases with narrow fistula exports, 11 cases with fistula lumen stenosis; Among them, 21 cases with postoperative fistula infection, 4 cases with hemorrhage, 1 case with fistula retraction, 1 case with prolapse. Conclusions Stenosis and intestinal obstruction after colostomy is mainly caused by postoperative local complications, timely observation and prevention is the key.

关 键 词：结肠 肠梗阻 缩窄 病理性 

分 类 号：R656.9[医药卫生—外科学]