MILES 手术结肠造瘘口并发症的预防及处理

目的 探讨miles 手术结肠造瘘口并发症的预防及处理.方法 回顾分析18 例结肠癌造瘘口并发症的处理.结果 18 例患者并发症,2 例结肠造瘘口回缩腹腔,重新手术造瘘治愈;2 例造瘘口水肿,保守治疗后治愈;4 例造瘘口狭窄,2 例重新造瘘治愈,2 例经不断扩张造瘘口后保守治愈;2 例结肠脱出,切除脱出的肠管治愈;4 例造瘘肠管缺血坏死,经开腹手术重新造瘘治愈;1 例结肠造瘘口旁脓肿,经脓肿切开引流治愈;3 例造瘘口旁疝,开腹手术治愈.结论 重视预防,并发症就会明显减少.

Treatment and prevention of complications after colostomy

Objective miles the prevention and treatment of surgical complications of colonic stoma mouth. Retrospective analysis of 18 cases of complications of colonic stoma. Results 18 cases patients complications, 2 cases colon made fistula mouth back shrink abdominal, again surgery made fistula cure; 2 cases made fistula mouth edema, conservative treatment Hou cure; 4 cases made fistula mouth narrow, 2 cases again made fistula cure, 2 eases by constantly expansion made fistula mouth Hou conservative cure; 2 cases colon prolapse, resection prolapse of bowel cure; 4 cases made fistula bowel deficiency blood necrosis, by open abdominal surgery again made fistula cure; 1 cases colon made fistula mouth next abscess, by abscess open drainage cure; 3 cases made fistula mouth next hernia, open abdominal surgery cure. Conclusion attention to prevention, complications are significantly reduced.