中国实用外科杂志

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造口旁疝发生嵌顿及绞窄的治疗策略

傅晓键,姚琪远   

  1. 复旦大学附属华山医院普外科 复旦大学疝病中心,上海 200040
  • 出版日期:2022-07-01

  • Online:2022-07-01

摘要: 造口旁疝是腹部各类造口术后的常见并发症之一,严重时可能出现嵌顿及绞窄而必须实施急诊手术,处理比较棘手,需要有经验的疝外科医师根据术中情况综合判断选择适宜的方案。造口旁疝发生嵌顿及绞窄的围手术期并发症发生率和病死率均很高,需要加强宣传及病人宣教,尽早干预,择期修补,以减少发生。

关键词: 造口旁疝, 嵌顿, 绞窄, 急诊手术

Abstract: Treatment of parastomal hernia with incarceration and strangulation        FU Xiao-jian,YAO Qi-yuan. Department of General Surgery,Huashan Hospital,Fudan University;Hernia Center of Fudan University,Shanghai 200040,China
Corresponding author:YAO Qi-yuan,E-mail:hs_stevenyao@
huashan.org.cn
Abstract    Parastomal hernia is a common complication of patients living with an enterostomy. In severe cases,incarceration and strangulation may occur,and emergency surgery is necessary and challenging to deal with,requiring an experienced hernia surgeon to manage. The incidence of perioperative complications,especially the mortality rate,of incarcerated and strangulated parastomal hernia is very high. It is of great importance to stress patient education,ensuring early intervention and selective repairment to diminish the occurance of this event.

Key words: parastomal hernia, incarceration, strangulation, emergency surgery