Myrvold H E
Department of Surgery, Regionsykehuset, Trondheim, Norway.
Scand J Gastroenterol Suppl. 1988;149:136-40. doi: 10.3109/00365528809096970.
During the last decades several types of surgical techniques have been utilized in order to provide the patient with a continent colostomy using the colon as a reservoir. None of the methods have gained wide acceptance and continence is usually dependent upon successful irrigation. By constructing a cecal reservoir with an intussuscepted nipple valve, using the same principle as for the continent ileostomy, a colostomy with perfect continence for both gas and feces can be created. Although improving life quality significantly when successful, the method is hampered by a high rate of complications and malfunction. So far none of the methods introduced offer any great advantage to conventional sigmoidostomy with irrigation. There is, however, evidence that the functional results after coloanal anastomosis may be improved by constructing a pouch-anal anastomosis. The clinical significance of this technical modification is not yet fully evaluated.
在过去几十年里，为了给患者提供一种以结肠作为贮袋的可控结肠造口术，人们采用了几种不同类型的外科技术。但这些方法都未得到广泛认可，控便能力通常依赖于成功的灌洗。通过构建一个带有套叠乳头瓣的盲肠贮袋，采用与可控回肠造口术相同的原理，可以创建一个对气体和粪便都有完美控便能力的结肠造口术。尽管该方法成功时能显著提高生活质量，但却受到高并发症发生率和功能障碍的困扰。到目前为止，所引入的方法相较于传统的需灌洗的乙状结肠造口术都没有太大优势。然而，有证据表明，通过构建袋肛管吻合术，结肠肛管吻合术后的功能结果可能会得到改善。这种技术改良的临床意义尚未得到充分评估。
