Kock N G, Myrvold H E, Philipson B M, Svaninger G, Ojerskog B
Dis Colon Rectum. 1985 Oct;28(10):705-8. doi: 10.1007/BF02560278.
In this paper, an account is given of our experience with continent colostomy in man. In five patients, the end-sigmoidostomy was provided with an intussusception valve. Evacuation of the bowel by irrigation through a catheter was laborious and time-consuming and this method was abandoned. In another group of 30 patients, the cecum was isolated from the rest of the colon and its distal end was provided with an intussusception valve. Of the 30 patients, eight were later given continent ileostomies, two were converted to conventional sigmoidostomies, and one patient with fecal incontinence preferred to have intestinal continuity reestablished. Thus, 19 patients still have continent cecostomies and are satisfied with their function. When comparing the function of the continent cecostomy with that of the continent ileostomy, however, it is obvious that the ileostomy function is superior. The experience obtained with this group of patients has resulted in a widening of the indications for constructing a continent ileostomy, including selected patients with various anorectal disorders.
本文介绍了我们在人体可控结肠造口术方面的经验。在5例患者中，乙状结肠末端造口设置了套叠瓣。通过导管冲洗肠道进行排便既费力又耗时，因此这种方法被放弃。在另一组30例患者中，将盲肠与结肠的其余部分分离，并在其远端设置了套叠瓣。30例患者中，8例后来接受了可控回肠造口术，2例改为传统乙状结肠造口术，1例大便失禁患者更倾向于恢复肠道连续性。因此，19例患者仍保留可控盲肠造口术，对其功能满意。然而，将可控盲肠造口术的功能与可控回肠造口术的功能进行比较时，显然回肠造口术的功能更优。从这组患者身上获得的经验导致了可控回肠造口术适应证的扩大，包括患有各种肛肠疾病的特定患者。
