Mylonakis E, Scarpa M, Barollo M, Yarnoz C, Keighley M R
University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Colorectal Dis. 2001 Sep;3(5):334-7. doi: 10.1046/j.1463-1318.2001.00256.x.
To study the long-term hernia rate and risk factors after end colostomy construction.
86 patients with a permanent end colostomy constructed over 5 years were examined and interviewed. There were 35 men and the mean age was 56.5 (28-87) years. Risk factors which were analysed included emergency operation, age over 60 years, obesity, steroids, cancer, infection at the stoma site, smoking and chronic obstructive airways disease.
Para-colostomy hernia occurred in 12/86 cases (13.9%). The cumulative recurrence rose with duration of follow up. Overall 10/45 patients (22%) over 60 years developed hernia vs. 2/41 patients (4.8%) less than 60 years (P=0.02). There were no other risk factors that correlated with para-colostomy hernia.
These data indicate that the incidence of colostomy related hernia increases with follow up and is significantly higher in patients over the age of 60. Other risk factors, particularly obesity and coexisting cardiorespiratory disease, have no impact.
研究永久性结肠造口术后的长期疝发生率及危险因素。
对86例5年前行永久性结肠造口术的患者进行检查及访谈。其中男性35例，平均年龄56.5（28 - 87）岁。分析的危险因素包括急诊手术、年龄大于60岁、肥胖、使用类固醇、癌症、造口部位感染、吸烟及慢性阻塞性气道疾病。
86例中有12例（13.9%）发生结肠旁疝。累积复发率随随访时间增加。总体而言，60岁以上的45例患者中有10例（22%）发生疝，而60岁以下的41例患者中有2例（4.8%）发生疝（P = 0.02）。没有其他危险因素与结肠旁疝相关。
这些数据表明，结肠造口相关疝的发生率随随访时间增加，且在60岁以上患者中显著更高。其他危险因素，特别是肥胖和并存的心肺疾病，并无影响。
