改良回肠造口在急腹症的应用
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福建医科大学 省立临床医学院,福建省立医院 胃肠外科,福州350001

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收稿日期: 2020-02-23
基金项目: 福建省自然科学基金(2015J01430) 作者简介: 许超,男,主治医师,医学硕士 通讯作者: 薛芳沁. Email: 491175541@qq.com


Application of Modified Ileostomy in Acute Abdomen
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Department of Gastrointestinal Surgery, Fujian Provincial Hospital,Provincial Clinic College of Fujian Medical University, Fuzhou 350001, China

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    目的探讨改良回肠造口在急腹症中的应用价值。方法回顾性分析2014年3月—2019年9月80例行回肠造口手术的急腹症患者的病例资料,以回肠造口手术方式为分组因素分为传统组和改良组,比较两组患者回肠造口的手术时间、术后造口相关并发症、造口回缩、行造口还纳的手术时间及造口还纳切除的肠管长度。结果改良组的手术时间较传统组缩短,术后造口相关并发症较少,后期行造口还纳时间缩短,可保留更多的回肠组织。结论改良回肠造口对传统回肠造口是一种合理的改进。

    Abstract:

    ObjectiveTo explore the value of modified ileostomy in acute abdomen.MethodsA total of 80 cases of acute abdomen who undergent ileostomy from March 2014 to September 2019 were retrospectively analyzed.The different methods of ileostomy were taken as the grouping factor.The operation time of ileostomy, complications after ileostomy, ileostomy retraction, the operation time for ileostomy closure and the length of the excised intestine during ileostomy closure were compared between the two groups of the traditional and modified ileostomy.ResultsCompared with the traditional ileostomy, the operation time of modified ileostomy was shorter and complications after ileostomy were less, the time of ileostomy closure was shortened, and more ileal tissue was retained.ConclusionThe modified ileostomy is a reasonable improvement to the traditional ileostomy.

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许超, 薛芳沁, 池良杰, 王襄瑜, 陈林昊, 黄良祥.改良回肠造口在急腹症的应用[J].福建医科大学学报自然版,2020,(4):235-237

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