Nordström G M, Borglund E, Nyman C R
Department of Urology, Södersjukhuset, Stockholm, Sweden.
Scand J Urol Nephrol. 1990;24(2):117-22. doi: 10.3109/00365599009180375.
Sixty-six patients with uretero-ileostomy were investigated with special regards to local status of the urinary stoma, i.e. stomal site, length, size/shape, and peristomal skin. Each variable was defined. In reports from other centres there has been a lack of definitions making it difficult to compare results from different studies. One fifth of our patients had inadequately located stomas and 85% had stomas shorter than 1 cm. The peristomal skin status was assessed according to CPS, Classification of Peristomal Skin. Eight per cent of the patients exhibited severe erythematous/erosive lesions and one fifth pseudoverrucose lesions. The relation between skin lesions and local status of the urinary stoma was analyzed. Patients with inadequately located stomas were more likely to show severe erythematous/erosive lesions and there was a tendency towards patients with stomas shorter than 1 cm, more frequently exhibiting pseudoverrucose lesions.
对66例输尿管回肠造口术患者进行了调查，特别关注泌尿造口的局部状况，即造口位置、长度、大小/形状和造口周围皮肤。对每个变量都进行了定义。在其他中心的报告中，缺乏定义使得不同研究结果难以比较。我们五分之一的患者造口位置不当，85%的患者造口长度短于1厘米。根据造口周围皮肤分类（CPS）对造口周围皮肤状况进行评估。8%的患者出现严重的红斑/糜烂性病变，五分之一的患者出现假疣状病变。分析了皮肤病变与泌尿造口局部状况之间的关系。造口位置不当的患者更有可能出现严重的红斑/糜烂性病变，并且造口短于1厘米的患者有更频繁出现假疣状病变的趋势。
