[侧襻回肠造口术的发病率]

[Morbidity of lateral loop ileostomy].

作者信息

François Y, Griot J B, Molter A, Gilly F N, Carry P Y, Sayag A, Vignal J

机构信息

Service de Chirurgie Viscérale et Digestive, Centre Hospitalier Lyon-Sud, Pierre-Bénite.

出版信息

Ann Chir. 1996;50(4):325-9.

PMID:8758522

Abstract

The aim of this retrospective study was to assess the morbidity of twisted loop ileostomy (TLI). Between 1985 and 1994, 83 TLI were performed in 79 patients. Before TLI closure, 13 patients (16%) presented complications, requiring surgery in 5 cases. Small bowel obstruction (7 cases: 8%) and high stoma output (4 cases: 5%) were the commonest complications. After stoma closure (performed in 76 cases), 8 patients (10.5%) presented complications, requiring surgery in 3 cases. The most commonest complication was enteric fistula (4 cases: 5.3%) requiring reoperation in 2 cases. This procedure adds a separate set of postoperative complications, which tend to be minor in nature without any permanent sequelae and which can be minimized by a meticulous surgical technique. This technique remains a safe and effective procedure for fecal diversion.

摘要

这项回顾性研究的目的是评估袢式回肠造口术（TLI）的发病率。1985年至1994年间，79例患者接受了83次袢式回肠造口术。在袢式回肠造口术关闭前，13例患者（16%）出现并发症，其中5例需要手术治疗。小肠梗阻（7例：8%）和高造口排出量（4例：5%）是最常见的并发症。在造口关闭后（76例患者接受了造口关闭手术），8例患者（10.5%）出现并发症，其中3例需要手术治疗。最常见的并发症是肠瘘（4例：5.3%），2例需要再次手术。该手术会增加一组单独的术后并发症，这些并发症通常性质较轻，不会留下任何永久性后遗症，并且通过细致的手术技术可以将其降至最低。该技术仍然是一种安全有效的粪便转流手术。