Kairaluoma M, Rissanen H, Kultti V, Mecklin J-P, Kellokumpu I
Department of Surgery, Jyväskylä Central Hospital, Jyväskylä, Finland.
Dig Surg. 2002;19(1):45-51. doi: 10.1159/000052005.
The purpose of this study was to examine the outcome of patients to whom a temporary stoma was constructed in our institution.
The outcome of patients operated on over an 8-year period was prospectively examined. Special attention was given to the influence of age on complications and closure of stomas.
Between 1989 and 1996, a total of 349 intestinal stomas were constructed in 342 patients. In 141 of these patients, the stoma could be considered as temporary. The 30-day mortality rate was 7%. The overall complication rate was 50%. Pure stoma-related complications were observed in 12% of the patients. The final closure rate of temporary stomas was 67%. The closure rate was significantly higher if the temporary stomas were of the double-barrel type. There was no significant difference in the closure rate between patients with benign and malignant diseases, but the rate decreased significantly in age groups over 70 years.
Forty percent of stomas constructed are considered as temporary, but only two-thirds of temporary stomas are closed subsequently. Especially end stomas tend to become permanent in patients over 70 years of age, although the morbidity rates of stoma closure do not differ from those of younger patients.
本研究旨在探讨在我院接受临时造口手术患者的治疗结果。
前瞻性地研究了8年间接受手术患者的治疗结果。特别关注年龄对并发症及造口关闭的影响。
1989年至1996年间，342例患者共进行了349例肠造口手术。其中141例患者的造口可视为临时性造口。30天死亡率为7%。总体并发症发生率为50%。12%的患者出现了单纯的造口相关并发症。临时造口的最终关闭率为67%。如果临时造口为双腔型，其关闭率显著更高。良性和恶性疾病患者的造口关闭率无显著差异，但70岁以上年龄组的关闭率显著降低。
40%的造口被视为临时性造口，但随后只有三分之二的临时造口被关闭。特别是端式造口在70岁以上患者中倾向于成为永久性造口，尽管造口关闭的发病率与年轻患者并无差异。
