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乙状结肠造口的冲洗管理

Irrigation management of sigmoid colostomy.

作者信息

Jao S W, Beart R W, Wendorf L J, Ilstrup D M

出版信息

Arch Surg. 1985 Aug;120(8):916-7. doi: 10.1001/archsurg.1985.01390320040007.

DOI:10.1001/archsurg.1985.01390320040007
PMID:4015381
Abstract

Questionnaires were sent to 270 patients who had undergone abdominoperineal resection and sigmoid colostomy at the Mayo Clinic, Rochester, Minn, during the ten years from 1972 to 1982; 223 patients returned their questionnaires with evaluable data. Sixty percent of the patients were continent with irrigation, and 22% were incontinent with irrigation. Eighteen percent had discontinued irrigation for various reasons. The proportion continent was higher in women, younger patients, and previously constipated patients. A poorly constructed colostomy may cause acute angle, parastoma hernia, stomal prolapse, or stenosis and thus be the cause of failure of irrigation.

摘要

我们向1972年至1982年这十年间在明尼苏达州罗切斯特市梅奥诊所接受腹会阴切除术和乙状结肠造口术的270名患者发送了调查问卷;223名患者返回了带有可评估数据的问卷。60%的患者通过冲洗保持大便节制,22%的患者冲洗后仍大便失禁。18%的患者因各种原因停止了冲洗。女性、年轻患者和既往便秘患者中大便节制的比例更高。造口术构建不佳可能导致锐角、造口旁疝、造口脱垂或狭窄,从而成为冲洗失败的原因。

相似文献

1
Irrigation management of sigmoid colostomy.乙状结肠造口的冲洗管理
Arch Surg. 1985 Aug;120(8):916-7. doi: 10.1001/archsurg.1985.01390320040007.
2
Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease.经皮内镜乙状结肠造口术在成人中枢神经系统疾病所致肠功能障碍管理中的应用:灌洗治疗。
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Continent cecostomy. An account of 30 patients.结肠造口术。30例患者的报告。
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Rapid totally diverting loop sigmoid colostomy with noncontaminating rectal irrigation.快速完全转流性袢状乙状结肠造口术联合非污染性直肠灌洗
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Positive and negative aspects of colostomy irrigation: a patient and WOC nurse perspective.造口灌洗的优缺点:患者和造口护士的观点。
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Sigmoid irrigation tube for the management of chronic evacuation disorders.用于慢性排泄障碍管理的乙状结肠冲洗管
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[Stricture of the colon induced by hyperthermia--in connection with irrigation via sigmoidostomy].[热疗所致结肠狭窄——与经乙状结肠造口冲洗的关系]
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[Application of GORE-TEX Dual Mesh fixing into peritoneum in sigmoid-colostomy to prevent peristomal hernia].[应用戈尔泰克斯双网片固定于乙状结肠造口处腹膜预防造口旁疝]
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