Division of Dermatology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Women's College Hospital, Toronto, ON, Canada.
Int J Dermatol. 2018 Mar;57(3):257-264. doi: 10.1111/ijd.13710. Epub 2017 Aug 22.
A stoma is an artificial opening to the skin formed when a part of the gastrointestinal tract is resected and opened to the skin in order to divert the bowel content to the skin surface. The incidence of stomal and peristomal complication varies from 30 to 67% with a significant negative impact on patient quality of life. Despite their prevalence, care providers tend to show insufficient awareness of peristomal skin complications, and research-based evidence related to peristomal skin complication and management options particularly in dermatology literature is sparse. This article will present a comprehensive review of peristomal skin complications in classification, clinical presentation, causes, prevention, and management aiming at increasing knowledge about this topic.
造口是一种通过手术将胃肠道的一部分切除并开口于皮肤表面以将肠道内容物引至皮肤表面的人造开口。造口和造口周围并发症的发生率为 30%至 67%,对患者的生活质量有重大负面影响。尽管它们很常见,但护理提供者往往对造口周围皮肤并发症的认识不足,并且与造口周围皮肤并发症和管理选择相关的基于研究的证据在皮肤病学文献中也很少。本文将全面回顾造口周围皮肤并发症的分类、临床表现、原因、预防和管理,旨在增加对这一主题的了解。