Baumel H, Fabre J M, Manderscheid J C, Navarro F, Duchêne D
Service de Chirurgie Digestive C, Hôpital Saint-Eloi, Montpellier.
Ann Chir. 1996;50(1):30-5.
Colonic irrigation (CI) represents the procedure of choice for patients with a colostomy. Recent technical advances (irrigation kit) have provided patients with simple, safe and effective material, allowing a new expansion of this old concept. A total of 795 colostomates (from association's data base) were assessed by questionnaires 386 (49%) of them used CI: 43.5% of patients operated before 1980 and 50% after 1980 (p < 0.005). Two thirds of patients performed Cl every two days, in the morning, with one liter or less of water, for 45 to 60 minutes. No morbidity was reported. Some patients (18%) stopped the procedure deliberately, but none due to a complication. Total continence during 48 H was observed in 48.4% of patients. Wearing a classical stomabag after CI must be considered to be a precaution rather than a failure. However one half of patients wore a simplified material (minibag, obturator, sticking plaster). The vast majority of patients (86%) claimed to be entirely satisfied with CI and 96% wanted to continue the procedure as long as possible.
结肠灌洗（CI）是结肠造口患者的首选治疗方法。最近的技术进步（灌洗套件）为患者提供了简单、安全且有效的材料，使这一古老概念得以新的拓展。通过问卷调查对协会数据库中的795名结肠造口患者进行了评估，其中386名（49%）使用了结肠灌洗：1980年前手术的患者中有43.5%使用，1980年后手术的患者中有50%使用（p < 0.005）。三分之二的患者每两天在早晨进行结肠灌洗，使用一升或更少的水，持续45至60分钟。未报告有发病率。一些患者（18%）故意停止了该治疗方法，但无人是因为并发症。48.4%的患者在48小时内实现了完全自控。结肠灌洗后佩戴传统造口袋应被视为一种预防措施而非治疗失败。然而，一半的患者使用了简化材料（迷你袋、闭孔器、膏药）。绝大多数患者（86%）声称对结肠灌洗完全满意，96%的患者希望尽可能长时间继续该治疗方法。
