Rosenberg L, Gordon P H
Can J Surg. 1986 Jan;29(1):38-40.
A retrospective review of 59 tube cecostomies, performed between 1971 and 1981, was undertaken to evaluate current operative indications, outcome and associated morbidity. Tube cecostomy was performed as a complementary procedure in 81.4% of cases; in the other 18.6%, it represented either the only operative intervention or the initial stage of a two-stage procedure. Complications included local infection in 32% of cases, peri-catheter leak in 25%, skin excoriation in 24% and pain in 12%. Catheters remained in place an average of 14 days, but function was adequate in only 40% of cases. Cecal drainage persisted from 24 hours to 90 days after the tube was removed. Two additional procedures were required to close persistent cecal fistulas. The authors conclude that the high morbidity associated with this procedure militates against its routine use. Decompression by cecostomy may be inadequate for treating acute colonic obstruction.
对1971年至1981年间进行的59例盲肠造瘘术进行了回顾性研究，以评估当前的手术适应症、结果及相关发病率。在81.4%的病例中，盲肠造瘘术作为辅助手术进行；在其他18.6%的病例中，它要么是唯一的手术干预措施，要么是两阶段手术的初始阶段。并发症包括32%的病例出现局部感染、25%的病例出现导管周围渗漏、24%的病例出现皮肤擦伤以及12%的病例出现疼痛。导管平均留置14天，但仅40%的病例功能良好。拔管后盲肠引流持续24小时至90天。需要另外进行两次手术来闭合持续存在的盲肠瘘。作者得出结论，该手术相关的高发病率不利于其常规使用。盲肠造瘘减压可能不足以治疗急性结肠梗阻。
