应用膨体聚四氟乙烯补片行乙状结肠造口腹膜内固定对造口旁疝的预防

Application of GORE.TEX Dual Mesh fixing into peritoneum in sigmoid-colostomy to prevent peristomal hernia

目的 评估应用膨体聚四氟乙烯补片行乙状结肠造口腹膜内固定预防造口旁疝的结果。方法2003年1月至2005年1月间中山大学附属第一医院需行腹会阴联合切除直肠肿瘤（Miles术）手术的60例患者按信封法随机分成两组，每组30例。对照组行经腹膜经腹直肌乳头型造口，试验组加用膨体聚四氟乙烯补片行乙状结肠造口腹膜内固定．观察造口并发症及随访造口旁疝发生情况。结果对照组有8例（26．7％）出现造口旁疝；观察组患者无造口旁疝发生。结论使用膨体聚四氟乙烯补片行乙状结肠造口腹膜内固定可预防造口旁疝的发生。

Objective To investigate the effect of GORE-TEX Dual Mesh fixing into peritoneum in sigmoid-colostomy on the prevention of peristomal hernia. Methods Sixty patients undergone sigmoid-colostomy from Jan. 2003 to Jan. 2005 in the first affiliated hospital of Sun Yat-sen University were selected and randomly divided into two groups. Patients received papillary sigmoid-colostomy through rectus abdominis and peritoneum in control group and GORE-TEX Dual Mesh fixing into peritoneum during sigmoid-colostomy in observation group. Complications and recurrence rate were recorded in follow-up period. Results Peristomal hernia occurred in eight patients（8/30） in control group（26.7%）, while no hernia happened in observation group（0/30）. Conclusion GORE-TEX Dual Mesh fixing into peritoneum in sigmoid-colostomy can prevent peristomal hernia.