Codina Cazador A, Olivet Pujol F, Farrés Coll R, Ruiz Feliu B, Font Pascual J, Fernández Gutiérrez F
General Surgery Department, Dr. J. Trueta Hospital, Gerona, Spain.
Rev Esp Enferm Dig. 1998 Sep;90(9):646-54.
The aim of this study is to analyse the quality of life in patients with ileoanal pouch respect to a diverting loop ileostomy.
Fifteen patients (8 women and 7 men) with mean average age of 33 years who underwent mucosal proctectomy, colectomy, ileal-pouch-anal anastomosis and temporary loop ileostomy. Quality of life was studied when the patients had an ileostomy and follow-up evaluation, one year after restitution of anal defecation. The surgeons' evaluation was done using a health scale.
Among the patients with temporary ileostomy, 40% reported bad tolerance, 53% leakage of stoma bag and 26% skin problems. The mean stool frequency among ileoanal anastomosis was four per day, 87% reported total continence, 13% had major complications and they needed pouch removal. 67% patients with ileostomy reported dietary restrictions against 13% patients functioning with pelvic pouch (p = 0.004). 13% patients with ileostomy had restricted sport activities. Social activities were restricted for 40% and 26% had limitations in their ability to work. Sex life was affected in 20% of patients with ileostomy and 13% of patients with ileal pouch anastomosis. 73% of patients presented an excellent level of satisfaction with pouch.
Quality of life after ileoanal pouch anastomosis is higher than ileostomy.
本研究旨在分析回肠储袋肛管吻合术患者相对于转流性回肠造口术的生活质量。
15例患者（8例女性和7例男性），平均年龄33岁，接受了黏膜直肠切除术、结肠切除术、回肠储袋肛管吻合术和临时回肠造口术。在患者有回肠造口时以及肛门排便恢复一年后的随访评估中研究生活质量。外科医生使用健康量表进行评估。
在有临时回肠造口的患者中，40%报告耐受性差，53%造口袋渗漏，26%有皮肤问题。回肠储袋肛管吻合术后平均每日排便次数为4次，87%报告完全控便，13%发生严重并发症并需要切除储袋。67%有回肠造口的患者报告有饮食限制，而使用盆腔储袋的患者为13%（p = 0.004）。13%有回肠造口的患者限制体育活动。40%的患者社交活动受限，26%的患者工作能力受限。20%有回肠造口的患者和13%有回肠储袋肛管吻合术的患者性生活受到影响。73%的患者对储袋的满意度极高。
回肠储袋肛管吻合术后的生活质量高于回肠造口术。
