结肠造口患者的重建手术

V. Boyko, D. Yevtushenko, S. O. Nemenko, I. G. Fursov
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引用次数: 0

摘要

摘要我们对先前施行结肠造口的患者进行重建手术的文献资料进行分析。结肠造口术的应用从7%到63%不等。肠吻合口的接缝失效仍然是腹部外科的热门问题。根据不同作者的说法,这类并发症的发生率在结肠手术中达到3.8% - 14.6%。大肠完整性的恢复问题与结直肠手术非常相关,结肠造口术的比例从7%到63%不等。尽管现有重建手术方法的改进和新方法的发展,术中术后诊断方法的积极应用,但不可能完全避免并发症的发生。结肠吻合口缝合失败的发生率为3.8% ~ 14.6%。需要进一步研究和开发结肠造口术后重建手术的方法,以减少术后并发症的发生,提高结直肠病理患者的治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
OF RECONSTRUCTIVE SURGERY IN PATIENTS WITH COLOSTOMY
Abstract. Literature data on the results of reconstructive surgery in patients with previously imposed colostomy were analyzed. Colostomy application varies from 7 to 63 %. Failure of the seams of the intestinal anastomoses remains a topical issue of abdominal surgery. The incidence of such complications, according to various authors, reaches 3.8–14.6 % — in operations on the colon. The issue of restoring the integrity of the large intestine is quite relevant for colorectal surgery, colostomy varies from 7 to 63 %. Despite the improvement of existing and development of new methods of reconstructive surgery, the active use of intraoperative and postoperative diagnostic methods, it is not possible to completely avoid complications. The incidence of failure of the sutures of colonic anastomoses reaches 3.8–14.6 %. Further study and development of methods of reconstructive surgery after colostomy is needed to minimize the number of postoperative complications and improve the treatment outcomes of patients with colorectal pathology.
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