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〔目的〕本文旨在探讨肠造口位置与并发症之间的关系,以阐明术前定位在降低造口并发症中的意义。〔方法〕随机对1998年3月～1999年8月结肠造口146例,重点对选择性手术108例分为术前定位与术前不定位二组,术前定位组包括中线造口46例和左下腹直肌内造口6例,未定位组全部为左下腹直肌外造口,共56例,而急诊手术组38例全部未定位,中线造口2例,左下外造口36例。〔结果〕术前定位组发生造口并发症者2例(385%),未定位组7例(125%),急诊手术组13例(34%)。中线造口发生并发症者2例(435%),左下外造口6例(1072%)。〔结论〕术前造口定位可明显降低造口并发症,选用中线造口较传统左下腹直肌外侧造口的并发症明显减少,伤口感染率亦仅217%,是可取和优先选择的造口部位。
[Objective] This article aims to explore the relationship between the location of colostomy and complications, in order to clarify the significance of preoperative localization in reducing ostomy complications. [Methods] 146 cases of colostomy from March 1998 to August 1999 were randomly selected. 108 cases of selective surgery were divided into preoperative positioning and preoperative positioning. The preoperative positioning group included 46 cases of midline ostomy. There were 6 cases of intrastomy of the left lower rectus abdominis muscle, and 56 cases of the left lower rectus abdominis muscle in the non-positioning group. There were 38 cases in the emergency surgery group, 2 cases in the midline stoma, and 36 cases in the left lower external stoma. . 〔Results〕 Two cases (385%) of complications occurred in the preoperative positioning group, 7 cases (125%) in the untargeted group, and 13 cases (34%) in the emergency surgery group. There were 2 cases (435%) of complications in the midline stoma and 6 cases (1072%) in the left lower stoma. [Conclusion] Preoperative ostomy positioning can significantly reduce the complications of stoma. The complications of selecting the midline stoma more than the traditional left lower rectus abdominis lateral stoma is significantly reduced, and the wound infection rate is only 217%, which is desirable and preferred. Mouth area.