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临时性保护造口在卵巢癌手术中的应用及评价

Application and evaluation of transitory protective stoma in ovarian cancer surgery.

作者信息

He Jiaqi, Li Jinke, Fan Bao, Yan Liya, Ouyang Ling

机构信息

Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.

出版信息

Front Oncol. 2023 Mar 24;13:1118028. doi: 10.3389/fonc.2023.1118028. eCollection 2023.

Abstract

Ovarian cancer is the most fatal of all female reproductive cancers. The fatality rate of OC is the highest among gynecological malignant tumors, and cytoreductive surgery is a common surgical procedure for patients with advanced ovarian cancer. To achieve satisfactory tumor reduction, intraoperative bowel surgery is often involved. Intestinal anastomosis is the traditional way to restore intestinal continuity, but the higher rate of postoperative complications still cannot be ignored. Transitory protective stoma can reduce the severity of postoperative complications and traumatic stress reaction and provide the opportunity for conservative treatment. But there are also many problems, such as stoma-related complications and the impact on social psychology. Therefore, it is essential to select appropriate patients according to the indications for the transitory protective stoma, and a customized postoperative care plan is needed specifically for the stoma population.

摘要

卵巢癌是所有女性生殖系统癌症中最致命的。卵巢癌的死亡率在妇科恶性肿瘤中最高,而肿瘤细胞减灭术是晚期卵巢癌患者常见的外科手术。为了实现满意的肿瘤缩减,术中常涉及肠道手术。肠吻合术是恢复肠道连续性的传统方法,但术后较高的并发症发生率仍不容忽视。临时性保护性造口可降低术后并发症的严重程度和创伤应激反应,并为保守治疗提供机会。但也存在许多问题,如造口相关并发症以及对社会心理的影响。因此,根据临时性保护性造口的适应证选择合适的患者至关重要,并且需要专门为造口人群制定个性化的术后护理计划。

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