Sisto G, Tarantino S, Lantone G, Lacitignola S, Porcelli P
Istituto di Ricovero e Cura a Carattere Scientifico, Specializzato in Gastroenterologia S. De Bellis, Castellana Grotte, Bari.
Minerva Chir. 1991 Aug;46(15-16):855-60.
The authors carried out a retrospective study of patients undergoing enterostomy during the past 9 years. From 1981 to present a total of 60 patients (39 males and 21 females) were operated and subsequently followed-up. The aim of the study was to examine the following factors: the diagnosis which led to operation, the type of stoma used, early and late complications, the behaviour of the alvus, psychological disorders and Karnofsky's Performance-Status Index. After having presented the findings, the surgical results obtained are discussed together with the patient's psychological reactions to stoma. All types of early surgical complications were absent in 66.6% of patients, whereas late complications were absent in 41.6%. Even in those cases where surgical techniques and prostheses permitted a satisfactory post-operative outcome, the sociopsychological and sexual problems relating to the wound and the perceived difference between the real and ideal Ego are highlighted.
作者对过去9年中行肠造口术的患者进行了一项回顾性研究。从1981年至今，共有60例患者（39例男性和21例女性）接受了手术并随后进行了随访。该研究的目的是检查以下因素：导致手术的诊断、所使用的造口类型、早期和晚期并发症、肠道的表现、心理障碍以及卡诺夫斯基功能状态指数。在呈现研究结果后，将所获得的手术结果与患者对造口的心理反应一起进行讨论。66.6%的患者没有出现任何类型的早期手术并发症，而41.6%的患者没有出现晚期并发症。即使在那些手术技术和假体允许获得满意术后结果的病例中，与伤口相关的社会心理和性问题以及真实自我与理想自我之间的感知差异也被凸显出来。
