直肠癌术后乙状结肠造口旁沟疝6例诊治分析

Diagnosis and treatment of 6 cases postsigmoidostomic hernia after colostomy

目的总结直肠癌术后发生乙状结肠造口旁沟疝患者的诊断及处理方法。方法对临沂市中心医院2018年1月至2021年12月诊断乙状结肠造口旁沟疝并行手术治疗的6例直肠癌患者的临床资料进行回顾性分析,总结其临床表现及治疗情况。结果6例患者均将造口段乙状结肠系膜与左侧壁层腹壁连续缝合固定。手术耗时46~210min,手术出血量均不多,无手术相关并发症,未再出现乙状结肠造口旁沟疝。结论乙状结肠造口旁沟疝是结肠造口术后的一种罕见并发症,应根据临床病史和体格检查结果,尽早进行腹部计算机断层扫描并积极手术治疗。

Objective To explore the clinical characteristics,diagnosis and treatment of postsigmoidostomic hernia after colostomy for rectal cancer.Method The clinical data of 6 patients with postsigmoidostomic hernia developed after colostomy for rectal cancer in Linyi Central Hospital from January 2018 to December 2021 were retrospectively analyzed.Result The sigmoid mesocolon at the stoma and the left parietal abdominal wall were continuously sutured and fixed in 6 patients.The operation took 46~210 minutes,the amount of bleeding was not much,there were no complications related to the operation,and there was no hernia of the groove beside the sigmoid colostomy.Conclusion Postsigmoidostomic hernia is a rare complication after colostomy.It is important to perform abdominal CT scanning as early as possible from the clinical history and physical findings,and to determine the surgical indication.