造口旁疝手术时机、适应证及术式选择  

Timing,indication and selection of operation for parastomal hernia

作　　者：陈杰[1] 史晓洋 朱熠林[1] 刘静[1] 袁昕 CHEN Jie;SHI Xiao-yang;ZHU Yi-lin(Department of Hernia and Abdominal Wall Surgery,Beijing Chao-Yang Hospital,Capital Medical University,Beijing 100020,China)

机构地区：[1]首都医科大学附属北京朝阳医院疝和腹壁外科,北京100020

出　　处：《中国实用外科杂志》2022年第7期747-749,共3页Chinese Journal of Practical Surgery

基　　金：北京市医院管理局临床技术创新项目(No.XMLX201602)。

摘　　要：造口旁疝是肠造口术后常见的并发症之一,发生率可达50%~70%,切口早期愈合不良,腹膜化组织长入切口使肌肉筋膜薄弱或连续性中断是造口旁疝形成的重要机制。当造口旁疝合并反复发作的嵌顿、肠梗阻、局部疼痛、造口周围皮肤破损以及造口护理困难等合并症时,须采取手术治疗。目前,补片修补术是造口旁疝的主要手术方式,其中Sugarbaker手术相对常用,但具体术式仍需根据病人自身情况进行个体化选择。Parastomal hernia is one of the most common com-plications after enterostomy. The incidence of this disease is ashigh as 50% to 70%,the weakening or discontinuity of themusculofascia due to the long incision of peritoneal tissue isan important mechanism for the formation of parastomal hernia. When the parastomal hernia is complicated by recurrentincarcerated hernia,intestinal obstruction,local pain and skindamage around the stoma,surgical treatment can be adoptedfor patients with peri-ostomy complications. Patch repair isthe mainstream approach for parastomal herniorrhaphy,andSugarbaker surgery is the most common one in recent years.However,the specific procedures still need to be customizedaccording to the patient’s own situation.

关 键 词：造口旁疝 手术时机 适应证 术式选择 

分 类 号：R6[医药卫生—外科学]