Hindenburg Tommy, Rosenberg Jacob
Department of Surgery, Herlev Hospital, University of Copenhagen, 2730 Herlev, Denmark.
Dan Med Bull. 2010 Jun;57(6):A4157.
Temporary ileostomy is frequently constructed to relieve a rectal anastomosis and avoid peritonitis if the anastomosis is leaking. Ostomy is a burden for both the patient and society and early closure is therefore desirable to counteract increased morbidity. Several prospective studies and a single randomized controlled trial have shown that closure in less than two weeks was associated with lower or equal morbidity compared with later closure. Thus, current data support early closure of temporary ileostomy performed to cover rectal anastomosis in routine clinical practice.
临时回肠造口术常用于缓解直肠吻合口的情况,若吻合口发生渗漏则可避免腹膜炎。造口术对患者和社会来说都是一种负担,因此早期关闭造口以减少发病率升高是很有必要的。几项前瞻性研究和一项随机对照试验表明,与延迟关闭相比,在两周内关闭造口的发病率更低或相当。因此,目前的数据支持在常规临床实践中对用于覆盖直肠吻合口的临时回肠造口术进行早期关闭。