摘要
造口旁疝是肠造口术后的常见并发症之一,发生率高达30%以上。诊断依靠体格检查及腹部CT。可能影响造口旁疝发生的因素包括:造口方式(造口肠管选择、造口与腹膜的关系、造口位置选择及造口孔径)、手术时间及患者自身因素等。预防造口旁疝对提高患者术后生活质量至关重要,预防性放置补片和围手术期护理工作可能预防造口旁疝的发生,补片材料类型可能影响造口旁疝的发生率。为降低复发率,目前常用腔镜下Sugarbaker法修补造口旁疝。如何有效预防和治疗造口旁疝仍需高质量研究提供依据。
Parastomal hernia is one of the common complications of stoma surgery with an incidence of more than 30%,which can be diagnosed by physical examination and abdominal CT.Risk factors of parastomal hernia might include stoma approaches including the selection of intestine,relationship between stoma and peritoneum,stoma location,aperture size,operation time and the patient's own conditions.It is essential to prevent parastomal hernia in order to improve patients'quality of life.Prophylactic mesh and perioperative care might prevent parastomal hernias.The mesh type might also influence the incidence of parastomal hernia.To reduce the incidence of recurrence of parastomal hernia,placement of mesh by the laparoscopic Sugarbaker technique was an effective surgical approach.How to prevent and repair parastomal hernia and cure parastomal hernia repair still needs further high-quality research to provide evidence.
作者
张皓宇
王振军
韩加刚
Zhang Haoyu;Wang Zhenjun;Han Jiagang(Department of General Surgery,Beijing Chaoyang Hosptial,Capital Medical University,Beijing 100020,China)
出处
《中华胃肠外科杂志》
CSCD
北大核心
2022年第11期970-975,共6页
Chinese Journal of Gastrointestinal Surgery
基金
国家自然科学基金(82070685)
首都卫生发展科研专项重点攻关(2018-1-2032)
北京朝阳医院1351人才培养计划项目(CYXZ-2017-09)
北京市属医院科研培育项目(PX2019012)
首都医科大学附属北京朝阳医院多学科临床研究创新团队项目(CYDXK202206)。
关键词
造口旁疝
危险因素
预防
补片
Parastomal hernia
Risk factors
Prevention
Mesh
