管型吻合器固定预置补片在永久性肠造口中的应用(附11例报告)

摘要

目的 探讨管型吻合器在永久性肠造口预置补片中的临床应用价值.方法 回顾性分析2011年3月～2015年12月我院老年外科应用管型吻合器固定预置补片的11例肠造口患者的术后并发症及随访情况.结果 术后伤口感染3例,未影响造口及置入的补片.术后均随访2年以上,未出现造口旁疝,有2例直肠癌患者2年后出现远处转移.结论 永久性肠造口时使用管状吻合器固定预置人工补片,方法简捷,固定可靠.%Objective To evaluate the clinical value of the application of tubular stapler in the fixa-tion of prophylactic mesh during the permanent enterostomy.Method The clinical data including post-operative complications and follow-up results of 11 cases performed permanent enterostomy with prophylac-tic mesh from March 2011 to December 2015 were analyzed retrospectively.Results Wound infections were observed in 3 cases,but having no effect on stoma or mesh.No parastomal hernia appeared over two years of follow-up.Distant metastasis was found in 2 cases of rectal cancer after two years.Conclusion The application of tubular stapler is simple and reliable in the fixation of prophylactic artificial mesh during permanent enterostomy.