预防性回肠造口还纳手术的研究进展
Research Progress of Preventive Ileostomy and Rehabilitation Surgery
摘要: 结直肠癌是我国常见的恶性肿瘤,对于吻合口瘘高危人群,临床医生会在手术过程中选择做预防性回肠造口手术。但目前在学术界预防性造口还纳手术存在许多争议,尤其在手术还纳时机,造口适应症等。在这篇综述中,会结合国内外文献,将讨论预防性造口还纳手术的研究进展,包括手术的适应症和禁忌症,已经使用过的不同手术技术,以及影响手术结果的因素。用于提升我们对预防性回肠造口还纳手术的认识,以便改善患者还纳术后生活质量。
Abstract: Colorectal cancer is a common malignant tumor in China. For the high-risk groups of anastomotic leakage, clinicians will choose preventive ileostomy during the operation. However, at present, there are many controversies about preventive ileostomy surgery in academic circles, especially in the timing of ileostomy closure, stoma indications and so on. In this review, the research progress of preventive ileostomy closure surgery will be discussed, including indications and contraindications, different surgical techniques that have been used, and factors that affect the surgical results. It can be used to improve our understanding of preventive ileostomy, so as to improve the quality of life of patients after ileostomy.
文章引用:韩誉, 朱代华. 预防性回肠造口还纳手术的研究进展[J]. 临床医学进展, 2023, 13(2): 2182-2186. https://doi.org/10.12677/ACM.2023.132306

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