Odariuk T S, Kapuller L L, Podmarenkova L F, Tsar'kov P V, Frolov S A
Khirurgiia (Mosk). 1994 Oct(10):23-6.
The authors discuss an original method for formation of a smooth-muscle cuff from the wall of a pulled-through colon in the region of a perineal colostoma. It was applied in 89 patients who had undergone extirpation of the rectum for malignant neoplasms. The smooth-muscle sphincter was formed during removal of the rectum in 72 patients and no earlier than 2 years after the extirpation in 17 patients. Inflammatory complications developed in the region of the perineal colostoa in the early postoperative period in 13.5% of cases. They were due to necrosis of the distal part of the pulled-through intestine in 3.4% of cases. There were no fatal outcomes. The late-term results were studied in follow-up periods of up to 7.5 years. Satisfactory functional results were produced in 83% of the patients. Physiological examination showed the presence of a functioning sphincter in the region of the perineal colostoma.
作者讨论了一种从会阴结肠造口区域的拖出结肠壁形成平滑肌套的原始方法。该方法应用于89例因恶性肿瘤而行直肠切除的患者。72例患者在直肠切除术中形成平滑肌括约肌，17例患者在切除术后不早于2年形成。术后早期，13.5%的病例会阴结肠造口区域出现炎症并发症。其中3.4%的病例是由于拖出肠管远端坏死所致。无死亡病例。在长达7.5年的随访期内研究了远期结果。83%的患者获得了满意的功能结果。生理检查显示会阴结肠造口区域存在功能性括约肌。
