Ortiz H, Sara M J, Armendariz P, de Miguel M, Marti J, Chocarro C
Coloproctology Unit, Virgen del Camino Hospital, Pamplona, Spain.
Int J Colorectal Dis. 1994 May;9(2):65-7. doi: 10.1007/BF00699414.
The aim of this study was to determine the rate of paracolostomy hernia in relation to transrectal or pararectal position of a colostomy. Fifty-four consecutive patients who had undergone an abdomino-perineal excision for rectal neoplasia were studied. The location of the colostomy was assessed by physical examination. Computerised Tomography (CT) scanning was used in the cases where its anatomical position remained in doubt. The colostomy was in a pararectal position in 29 (54%), while in 25 (46%) it was transrectal. CT was necessary to determine the location of the colostomies in 9 cases (16%), eight of which had a parastomal hernia. The colostomy was pararectal in 15 (52%) of the 26 patients who had a paracolostomy hernia, and in 14 (48%) of the 28 patients without a paracolostomy hernia. No statistically significant correlation was found between the presence of a parastomal hernia and the position of the stoma in the abdominal wall.
本研究的目的是确定结肠造口旁疝发生率与结肠造口经直肠或直肠旁位置的关系。对54例因直肠肿瘤接受腹会阴联合切除术的连续患者进行了研究。通过体格检查评估结肠造口的位置。在其解剖位置仍存疑问的病例中使用了计算机断层扫描（CT）。29例（54%）结肠造口位于直肠旁，25例（46%）为经直肠造口。9例（16%）病例需要CT来确定结肠造口的位置，其中8例有造口旁疝。26例有结肠造口旁疝的患者中，15例（52%）造口位于直肠旁，28例无结肠造口旁疝的患者中，14例（48%）造口位于直肠旁。未发现造口旁疝的存在与腹壁造口位置之间存在统计学显著相关性。
