Tan H T, Morton D, Connolly A B, Pringle W, White M, Keighley M R
University Department of Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK.
Br J Surg. 1998 Feb;85(2):249-51. doi: 10.1046/j.1365-2168.1998.00582.x.
Pouch excision is a devastating experience for patients having restorative proctocolectomy for ulcerative colitis.
The quality of life among patients having pouch excision for ulcerative colitis was compared with that in those having proctocolectomy and ileostomy for ulcerative colitis using a validated standardized self-administered questionnaire.
After pouch excision patients (n = 9) had more troublesome bowel symptoms (mainly from liquid stoma output) than those in the proctocolectomy group (n = 14) (mean(s.d.) score 5.64(0.92) versus 6.13(0.37), P = 0.03). However, the mean scores for the other parameters (systemic symptoms, functional, social and emotional impairment) did not differ significantly.
Patients having pouch excision for ulcerative colitis have more liquid ileostomy loss but a comparable quality of life to those treated by standard proctocolectomy and ileostomy.
对于因溃疡性结肠炎接受结直肠切除并回肠储袋肛管吻合术的患者而言，切除储袋是一次极具破坏性的经历。
采用经过验证的标准化自填问卷，对因溃疡性结肠炎接受储袋切除的患者与因溃疡性结肠炎接受全结直肠切除并回肠造口术的患者的生活质量进行比较。
储袋切除术后的患者（n = 9）比全结直肠切除组（n = 14）有更多令人烦恼的肠道症状（主要来自造口流出液）（平均（标准差）评分5.64(0.92) 对 6.13(0.37)，P = 0.03）。然而，其他参数（全身症状、功能、社会和情感障碍）的平均评分没有显著差异。
因溃疡性结肠炎接受储袋切除的患者回肠造口流出液更多，但生活质量与接受标准全结直肠切除并回肠造口术的患者相当。
