Gabrielli F, Domeniconi R, Fazio F M, Ambrosi V
Minerva Chir. 1980 Nov 15;35(21):1647-54.
The Authors report their experience about 152 patients examined between 1976-1979 in the Aistom Centre of the Institute of "Semeiotica Chirurgica" at the University of Trieste. 98 patients irrigated their colostomies, while 57 patients were excluded in consequence of general or local counterindications. 92% of the irrigating patients gained fecal continence, but 1/4 of them use the colostomy bag to obtain full control of gas and odors. No cases of colonic perforation, bleeding or severe dermatitis were observed. The follow-up shows that most of the irrigating patients undergo less serious psychological problems and usually have easier social lives. It is opinion of the Authors that the results of colonic irrigation are better than natural evacuation. Irrigation should be therefore considered the best method of choice for the management of permanent colostomies.
作者报告了他们在的里雅斯特大学“外科符号学”研究所艾斯托姆中心于1976年至1979年期间对152例患者进行检查的经验。98例患者对结肠造口进行了灌洗，而57例患者因全身或局部禁忌证而被排除。92%的灌洗患者实现了粪便节制，但其中四分之一的患者使用结肠造口袋来完全控制气体和气味。未观察到结肠穿孔、出血或严重皮炎的病例。随访显示，大多数灌洗患者面临的心理问题较轻，社交生活通常也更轻松。作者认为结肠灌洗的效果优于自然排便。因此，灌洗应被视为永久性结肠造口管理的最佳选择方法。
