中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
Chinese Journal of Digestive Surgery
2015年
10期
811-812
,共2页
造口旁疝%预防%治疗
造口徬疝%預防%治療
조구방산%예방%치료
Parastomal hernia%Prevention%Therapy
目前,造口旁疝的预防和外科治疗仍是一个棘手的问题.采用传统的非手术和手术方法预防造口旁疝的发生收效甚小.近年来,在造口时运用预防性放置补片的技术已使造口旁疝的发生率显著下降.传统的原位或移位组织的修补方法术后复发率很高,修补材料的应用可使造口旁疝的手术治疗近期效果得到明显改善,而远期效果还难以确定,需要进一步研究观察疗效.
目前,造口徬疝的預防和外科治療仍是一箇棘手的問題.採用傳統的非手術和手術方法預防造口徬疝的髮生收效甚小.近年來,在造口時運用預防性放置補片的技術已使造口徬疝的髮生率顯著下降.傳統的原位或移位組織的脩補方法術後複髮率很高,脩補材料的應用可使造口徬疝的手術治療近期效果得到明顯改善,而遠期效果還難以確定,需要進一步研究觀察療效.
목전,조구방산적예방화외과치료잉시일개극수적문제.채용전통적비수술화수술방법예방조구방산적발생수효심소.근년래,재조구시운용예방성방치보편적기술이사조구방산적발생솔현저하강.전통적원위혹이위조직적수보방법술후복발솔흔고,수보재료적응용가사조구방산적수술치료근기효과득도명현개선,이원기효과환난이학정,수요진일보연구관찰료효.
Prevention and surgical treatment of parastomal hernia remain a major challenge to surgeons.The effects of traditional non-operative and surgical treatment would likely be few, but the application of surgical technique which places a prophylactic mesh at the primary operation is bringing down the incidence of parastomal hernia in recent years.Due to a high recurrence rate of parastomal hernia after traditional in or ex situ tissues repair, the short-term outcomes of surgical treatment for parastomal hernia have significantly been improved by using prosthetic mesh, while the long-term outcomes are uncertain and needed for further investigation.