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造口相关并发症及急症

Stoma-related complications and emergencies.

作者信息

Babakhanlou Rodrick, Larkin Kelly, Hita Angel G, Stroh John, Yeung Sai-Ching

机构信息

Department of Leukemia, The University of Texas, MD Anderson Cancer Center, 515 Holcombe Blvd., Houston, TX, 77030, USA.

Department of Emergency Medicine, The University of Texas, MD Anderson Cancer Center, 1515 Holcombe Blvd., Houston, TX, 77030, USA.

出版信息

Int J Emerg Med. 2022 May 9;15(1):17. doi: 10.1186/s12245-022-00421-9.

DOI:10.1186/s12245-022-00421-9
PMID:35534817
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9082897/
Abstract

Stoma creations are common procedures in surgical specialties. They can be created either as a temporary or a permanent measure. Despite advancements in surgical technique and stoma care, complications are common. Patients experiencing stoma-related complications often present to the emergency department. Emergency physicians are not expected to be stoma experts, yet they are often the first point of contact for patients experiencing stoma-related complications. Accordingly, emergency physicians should be familiar with the types of stomas and complications and emergencies associated with them so that they can appropriately address the problems related to stomas. This article will provide a review of emergencies and complications associated with ileostomies, colostomies, and urostomies.

摘要

造口术是外科专业中常见的手术操作。造口可作为临时或永久性措施来创建。尽管手术技术和造口护理有所进步,但并发症仍很常见。出现造口相关并发症的患者常前往急诊科就诊。虽然并不期望急诊医生成为造口专家,但他们往往是出现造口相关并发症患者的首个接触点。因此,急诊医生应熟悉造口的类型以及与之相关的并发症和急症,以便能够妥善处理与造口有关的问题。本文将对回肠造口术、结肠造口术和尿流改道术相关的急症和并发症进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/8cfac9d02965/12245_2022_421_Fig6_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/4bb181b931f9/12245_2022_421_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/8cfac9d02965/12245_2022_421_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/ce2e9cd2bb7f/12245_2022_421_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/f1052fcdb7b3/12245_2022_421_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/17d078d05677/12245_2022_421_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/e50df1e545df/12245_2022_421_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/4bb181b931f9/12245_2022_421_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e9b/9082897/8cfac9d02965/12245_2022_421_Fig6_HTML.jpg

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本文引用的文献

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Current Management of Intestinal Stomas and Their Complications.肠造口及其并发症的当前管理
J Anus Rectum Colon. 2020 Jan 30;4(1):25-33. doi: 10.23922/jarc.2019-032. eCollection 2020.
2
Stoma-Related Complications Following Ostomy Surgery in 3 Acute Care Hospitals: A Cohort Study.三家急症医院造口手术后的造口相关并发症:一项队列研究。
J Wound Ostomy Continence Nurs. 2020 Jan/Feb;47(1):32-38. doi: 10.1097/WON.0000000000000605.
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Incidence and risk factor of outlet obstruction after construction of ileostomy.回肠造口术后出口梗阻的发生率及危险因素。
结直肠癌手术行转流性回肠造口术后造口输出道梗阻的患病率及合并危险因素:一项系统评价和荟萃分析
Int J Colorectal Dis. 2025 May 15;40(1):119. doi: 10.1007/s00384-025-04862-5.
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Pregnancy With a Stoma is Feasible, Though Associated With Manageable Complications.有造口的情况下怀孕是可行的,尽管会伴有一些可控制的并发症。
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Outcomes of loop ileostomy after rectal resection for cancer: A prospective observational multicenter snapshot study from Multidisciplinary Italian Study group for STOmas (MISSTO).直肠癌切除术后回肠袢式造口术的结局:来自意大利多学科造口研究组(MISSTO)的一项前瞻性观察性多中心横断面研究。
Tech Coloproctol. 2024 Dec 11;29(1):16. doi: 10.1007/s10151-024-03047-6.
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Post-surgical acute care utilization and cost of care among cancer survivors with an ostomy: Findings from three large hospital systems in the United States.有造口术的癌症幸存者术后急性护理的利用情况及护理成本:来自美国三个大型医院系统的研究结果
J Cancer Policy. 2025 Mar;43:100534. doi: 10.1016/j.jcpo.2024.100534. Epub 2024 Dec 9.
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The Frequency of Stoma-Related Readmissions After Emergency and Elective Ileostomy Formation: The Leicester Experience.急诊和择期回肠造口术后造口相关再入院率:莱斯特经验
Cureus. 2024 Nov 6;16(11):e73158. doi: 10.7759/cureus.73158. eCollection 2024 Nov.
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Prevention and care of adult enterostomy with high output: a scoping review protocol.成人高输出肠造口的预防和护理:范围综述方案。
BMJ Open. 2024 Aug 29;14(8):e078602. doi: 10.1136/bmjopen-2023-078602.
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Does one-stitch method of temporary ileostomy affect the stoma-related complications after laparoscopic low anterior resection in rectal cancer patients?单针法临时回肠造口术是否会影响直肠癌腹腔镜低位前切除术后的吻合口相关并发症?
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Pediatr Surg Int. 2024 Jul 23;40(1):208. doi: 10.1007/s00383-024-05791-0.
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Ostomy Complications in Crohn's Disease.克罗恩病中的造口并发症
Clin Colon Rectal Surg. 2019 Jul;32(4):314-322. doi: 10.1055/s-0039-1683924. Epub 2019 Jun 17.
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Managing moisture-associated skin damage in stoma care.造口护理中与水分相关的皮肤损伤管理。
Br J Nurs. 2018 Dec 13;27(22):S6-S14. doi: 10.12968/bjon.2018.27.22.S6.
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Male Neobladder.男性新膀胱
Urol Clin North Am. 2018 Feb;45(1):37-48. doi: 10.1016/j.ucl.2017.09.003.