Dini D, Venturini M, Forno G, Bertelli G, Grandi G
National Institute for Cancer Research, Department of Oncological Rehabilitation, Genova, Italy.
Int J Colorectal Dis. 1991 Feb;6(1):9-11. doi: 10.1007/BF00703953.
Management of a colostomy by irrigation is simple and effective. Five hundred and nine patients having a colostomy for rectal cancer during the last 10 years were assessed by our Rehabilitation Department as potential candidates for irrigation. Fifty-two patients were considered unsuitable and 40 refused to learn the technique. The remaining 417 (82%) patients adopted the irrigation method. Of these, 97% achieved full continence of periods of 24 to 48 h. There was no case of colonic perforation. The median duration of irrigation was 230 days; 31.6% had been irrigating from 1 to 5 years and 10.3% for more than 5 years. There was a reduction of more than 50%/24 h in the number of appliances used by patients. Irrigation is a simple, safe and cost-effective means of managing a colostomy. With careful selection of patients, irrigation should be recommended as a routine part of rehabilitation.
通过灌肠法管理结肠造口简单且有效。在过去10年中，我们康复科评估了509例因直肠癌行结肠造口术的患者，将其作为灌肠的潜在对象。52例患者被认为不适合，40例拒绝学习该技术。其余417例（82%）患者采用了灌肠法。其中，97%的患者能实现24至48小时的完全自控。无结肠穿孔病例。灌肠的中位持续时间为230天；31.6%的患者已灌肠1至5年，10.3%的患者灌肠超过5年。患者使用的器具数量减少超过50%/24小时。灌肠是管理结肠造口的一种简单、安全且经济有效的方法。通过仔细挑选患者，应将灌肠推荐为康复的常规组成部分。
