von Smitten K, Husa A, Kyllönen L
Acta Chir Scand. 1986 Mar;152:211-3.
The long-term results with permanent end-sigmoidostomy were studied in 54 patients after abdominoperineal excision of the rectum for anorectal malignancy. The patients were re-examined 1-8 years postoperatively, when the function and late complications of the end-sigmoidostomy and the need for reconstructive procedures were assessed. An attempt was also made to evaluate the patients' quality of life. Only one patient reported severe impairment of social life due to the enterostomy. The main surgical problem was paracolostomy hernia (48% of the series), but revisonal surgery because of hernia was necessary in only two cases. Stomal stenosis (5.6%) in no case required reoperation. Peristomal eczema (5%) was always manageable with local treatment. The results indicated that the quality of life with end-sigmoidostomy is reasonably good, and this should be kept in mind when deciding on type of operation for low rectal malignancy.
对54例因肛管直肠恶性肿瘤行腹会阴联合直肠癌根治术并永久性乙状结肠造口术的患者进行了长期随访研究。术后1 - 8年对患者进行复查，评估乙状结肠造口的功能、远期并发症以及重建手术的必要性。同时还尝试评估患者的生活质量。仅有1例患者报告因造口导致严重的社交生活障碍。主要的手术问题是结肠造口旁疝（占该组病例的48%），但仅2例因疝需要进行修复手术。造口狭窄（5.6%）无一例需要再次手术。造口周围湿疹（5%）通过局部治疗总能得到控制。结果表明，乙状结肠造口术患者的生活质量相当不错，在决定低位直肠癌的手术方式时应牢记这一点。
