直肠癌Miles术后结肠造口旁疝14例临床分析
直肠癌,,造口旁疝;诊断;治疗,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的:探讨直肠癌Miles术后结肠造口旁疝的诊断和治疗措施。方法:对1996年1月~2002年12月我院收治的14例直肠癌Miles术后结肠造口旁疝患者的临床资料进行了回顾性分析。8例经腹腔进行矫治手术,6例行原位筋膜修补术。结果: 14例结肠造口手术至出现造口旁疝时间6~38个月,平均20个月,均予手术治疗,其中1例行原位筋膜修补术,术后10个月复发,13例随访10个月~3年,均无复发。结论:结合结肠造口旁疝的主要表现肠造口周围肿块,触及造口旁腹壁缺损即可诊断,B超有助于诊断,手术是治疗的有效措施。关键词: 造口旁疝;诊断;治疗
A clinical analysis of 14 patients with parastomal hernia after Miles operation of rectal cancer
WANG Haijiang, Yin Dong, Chen Peng, et al
(First Department of Surgery, Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi 830011, China)
Abstract: Objective:To study the dignosis and treatment of parastomal hernia. Method:Fourteen patients with parastomal hernia from Jan.1996 to Dec. 2002 with rectal cancer undergone colostomy in our department were analyzed retrospectively. Results: The time between the operation to parastomal hernia was from 6 to 38 M, mean time 20 M. 14 patients accepted the operation, one patient underwent in site fascicle repair ......
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