Department of Surgical Sciences, University of Turin, Turin, Italy.
Tech Coloproctol. 2018 Sep;22(9):683-687. doi: 10.1007/s10151-018-1857-3. Epub 2018 Sep 28.
To evaluate the incidence and identify the risk factors of stoma-related complications in a consecutive series of patients treated at a single institution.
For this retrospective analysis, the medical records of patients followed up at the stoma care centre of our institution over the last 16 years were reviewed. The primary end point was the incidence of stoma-related complications. Risk factors were tested using univariate and multivariate Cox proportional hazards models.
Of a total of 1076 patients, 604 received a colostomy and 472 an ileostomy. In all, 1055 stoma-related complications were recorded in 797 patients. Univariate analysis identified the following risk factors for stoma-related complications: male sex (p = 0.032), emergency surgery (p = 0.010), open surgery (p < 0.001), and ileostomy creation (p = 0.004). Preoperative stoma site marking was noted to play a protective role (hazard ratio 0.739; 95% confidence interval 0.576-0.947; p = 0.017). Multivariate analysis confirmed male sex and ileostomy creation as risk factors (p = 0.030 and p = 0.013, respectively) and preoperative stoma site marking as an independent protective factor (p = 0.001).
Stoma-related complications are quite common, especially when an ileostomy is present. Preoperative stoma site marking was noted to play a highly protective role not only in reducing the complication rate but also in improving the patients' quality of life.
评估发病率并确定单中心连续系列患者发生造口相关并发症的危险因素。
在这项回顾性分析中，我们回顾了在我院造口护理中心随访的患者的病历。主要终点是造口相关并发症的发生率。使用单因素和多因素 Cox 比例风险模型测试危险因素。
在总共 1076 名患者中，604 名接受了结肠造口术，472 名接受了回肠造口术。共有 797 名患者发生了 1055 例造口相关并发症。单因素分析确定了造口相关并发症的以下危险因素：男性（p=0.032）、急诊手术（p=0.010）、开放性手术（p<0.001）和回肠造口术（p=0.004）。术前造口部位标记被认为具有保护作用（危险比 0.739；95%置信区间 0.576-0.947；p=0.017）。多因素分析证实男性和回肠造口术是危险因素（p=0.030 和 p=0.013），术前造口部位标记是独立的保护因素（p=0.001）。
造口相关并发症很常见，尤其是当存在回肠造口时。术前造口部位标记不仅可以降低并发症发生率，而且可以提高患者的生活质量，具有高度保护作用。
