摘要
目的：分析造口旁疝临床特点及治疗。方法 ：回顾性分析2006年1月至2015年12月本中心220例造口旁疝病人治疗的临床资料。结果：220例病人均实施手术。平均手术时间（132±29）（69~620）min。术后平均住院时间（7.1±1.6）（5~22）d,中位随访时间18（3~72）个月。近期并发症有切口感染16例,切口血清肿23例,肺部感染6例,心力衰竭2例,不全性肠梗阻11例,造口肠管血运障碍2例,肠管损伤2例。1例因术后合并肺部重症感染而死亡。随访发现造口旁疝复发26例,造口脱垂2例,造口狭窄9例,肠梗阻16例（11例为复发）,迟发型补片感染3例,慢性疼痛11例。结论：造口旁疝应积极手术治疗,不同的术式各有优劣,治疗方案需个体化选择。人工材料修补的方法安全,使用生物补片需慎重。
Objective To evaluate the clinical features and treatment of parastomal hernia （PH）. Methods Two hundred and twenty cases with PH were treated in our center from Jan 2006 to Dec 2015, and the clinical data were analyzed retrospectively. Results All of the patients had operation. Mean operating time was （132±29） （69-620） min and mean postoperative hospital stay was （7.1±1.6） （5-22） d. Median time of follow-up was 18（3-72） months. Short term complications included 16 cases with wound infection, 23 with seroma, 6 with pulmonary infection, 2 with heart failure, 11 with incomplete ileus, 2 with intestinal circulation disorder and 2 with intestinal injury. One patient died for severe pulmonary infection. Long term complications shown in follow-up study included 26 cases with hernia recurrence, 2 with stomal prolapse, 9 with stoma stenosis, 16 with ileus （11 cases combined with PH recurrence）, 3 with delayed mesh infection and 11 with postoperative persistent pain. Conclusions The surgery in treatment of PH should be done as early as possible. Different surgical methods have their pros and con, and would be individualized. Tension-free hernioplasty is safe and effective for PH, and the caution for biological mesh repairs is needed.
出处
《外科理论与实践》
2016年第2期121-125,共5页
Journal of Surgery Concepts & Practice
关键词
造口旁疝
治疗
并发症
Parastomal hernia
Treatment
Complications
