• 四川大學華西醫(yī)院胃腸外科中心（成都，610041）;

目的 　探討直腸癌低位、超低位前切除并行橫結腸預防性造口術后其并發(fā)癥的護理對策。 方法 　對2011年12月－2012年5月收治的43例低位直腸癌行預防性橫結腸造口患者的臨床資料進行回顧性分析，并就其發(fā)生并發(fā)癥的原因及護理方法予以總結。 結果 　43例患者均在直腸癌前切除術后行預防性橫結腸袢式造口術。術后拔管時間2～5 d，造口排氣時間19～73 h，均未出現(xiàn)吻合口瘺，但發(fā)生造口脫垂1例，造口回縮1例，造口周圍皮膚疾病2例，經(jīng)積極治療護理后均痊愈出院。 結論 　術后精心護理對降低橫結腸造口術后并發(fā)癥，提高患者生活質量，改善預后十分重要。

引用本文： 咼宇蘭,梁濤,覃清梅,印義瓊. 低位直腸癌預防性橫結腸造口術后相關并發(fā)癥的護理. 華西醫(yī)學, 2013, 28(4): 579-581. doi: 復制

版權信息： ?四川大學華西醫(yī)院華西期刊社《華西醫(yī)學》版權所有，未經(jīng)授權不得轉載、改編

1. 　Vlot EA, Zeebregts CJ, Gerritsen JJ, et al. Anterior resection of rectal cancer without bowel preparation and diverting stoma[J]. Surg Today, 2005, 35(8): 629-633.
2. 　Colwell JC, Beitz J. Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomal complications: a content validation study[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 57-69.
3. 　Colwell JC. Stomal and peristomal complications[M]//Colwell JC, Goldberg MT, Carmel JE. Fecal & Urinary Diversions: Management Principles. St Louis, MO: CV Mosby, 2004: 224-314.
4. 　Barr JE. Assessment and management of stomal complications: a framework for clinical decision making [J]. Ostomy Wound Manage, 2004, 50(9): 50-67.
5. 　Wound, Ostomy, and Continence Nurses Society. Stoma complications: a best practice document for clinicians[EB/OL]. (2011-11-29)[2012-07-06]. http://emedicine.medscape.com/article/939455-treatment#a17.
6. 　顧永芳. 結腸造口并發(fā)癥原因分析與護理要點[J]. 中國實用醫(yī)藥, 2009, 4(33): 190-192.
7. 　戴曉冬, 李華珠, 楊寧琍. 51例Miles術后造口并發(fā)癥的原因分析與護理[J]. 中華護理雜志, 2010, 45(9): 799-800.
8. 　Collett K. Practical aspects of stoma management [J]. Nurs Stand, 2002, 17(8): 45-52.
9. 　Rolstad BS, Erwin-Toth PL. Peristomal skin complications: prevention and management[J]. Ostomy Wound Manage, 2004, 50(9): 68-77.
10. 　Ratliff CR, Donovan AM. Frequency of peristomal complications [J]. Ostomy Wound Manage, 2001, 47(8): 26-29.
11. 　Colwell JC, Beitz J. Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomalcomplications: a content validation study[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 57-69.
12. 　Turnbull GB, Erwin-Toth P. Ostomy care: foundation for teaching and practice[J]. Ostomy Wound Manage, 1999, 45(Suppl 1A): 23-30.
13. 　Alvey B, Beck DE. Peristomal dermatology[J]. Clin Colon Rectal Surg, 2008, 21(1): 41-44.
14. 　周皎琳, 邱輝忠, 林國樂. 結直腸吻合的預防性造口術——袢式橫結腸造口與袢式回腸造口的比較[J]. 中國現(xiàn)代手術學雜志, 2011, 15(1): 65-68.
  1. 1. 　Vlot EA, Zeebregts CJ, Gerritsen JJ, et al. Anterior resection of rectal cancer without bowel preparation and diverting stoma[J]. Surg Today, 2005, 35(8): 629-633.
  2. 2. 　Colwell JC, Beitz J. Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomal complications: a content validation study[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 57-69.
  3. 3. 　Colwell JC. Stomal and peristomal complications[M]//Colwell JC, Goldberg MT, Carmel JE. Fecal & Urinary Diversions: Management Principles. St Louis, MO: CV Mosby, 2004: 224-314.
  4. 4. 　Barr JE. Assessment and management of stomal complications: a framework for clinical decision making [J]. Ostomy Wound Manage, 2004, 50(9): 50-67.
  5. 5. 　Wound, Ostomy, and Continence Nurses Society. Stoma complications: a best practice document for clinicians[EB/OL]. (2011-11-29)[2012-07-06]. http://emedicine.medscape.com/article/939455-treatment#a17.
  6. 6. 　顧永芳. 結腸造口并發(fā)癥原因分析與護理要點[J]. 中國實用醫(yī)藥, 2009, 4(33): 190-192.
  7. 7. 　戴曉冬, 李華珠, 楊寧琍. 51例Miles術后造口并發(fā)癥的原因分析與護理[J]. 中華護理雜志, 2010, 45(9): 799-800.
  8. 8. 　Collett K. Practical aspects of stoma management [J]. Nurs Stand, 2002, 17(8): 45-52.
  9. 9. 　Rolstad BS, Erwin-Toth PL. Peristomal skin complications: prevention and management[J]. Ostomy Wound Manage, 2004, 50(9): 68-77.
  10. 10. 　Ratliff CR, Donovan AM. Frequency of peristomal complications [J]. Ostomy Wound Manage, 2001, 47(8): 26-29.
  11. 11. 　Colwell JC, Beitz J. Survey of wound, ostomy and continence (WOC) nurse clinicians on stomal and peristomalcomplications: a content validation study[J]. J Wound Ostomy Continence Nurs, 2007, 34(1): 57-69.
  12. 12. 　Turnbull GB, Erwin-Toth P. Ostomy care: foundation for teaching and practice[J]. Ostomy Wound Manage, 1999, 45(Suppl 1A): 23-30.
  13. 13. 　Alvey B, Beck DE. Peristomal dermatology[J]. Clin Colon Rectal Surg, 2008, 21(1): 41-44.
  14. 14. 　周皎琳, 邱輝忠, 林國樂. 結直腸吻合的預防性造口術——袢式橫結腸造口與袢式回腸造口的比較[J]. 中國現(xiàn)代手術學雜志, 2011, 15(1): 65-68.

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