頁籤選單縮合
題 名 | Temporary Diverting Colostomy for Patients with Extensive Perineal Burns=會陰部廣泛燒傷病患之暫時轉向性大腸造口 |
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作 者 | 蕭順裕; 董光義; | 書刊名 | 中華民國整形外科醫學會雜誌 |
卷 期 | 17:3 2008.09[民97.09] |
頁 次 | 頁296-302 |
分類號 | 416.41 |
關鍵詞 | Perineal burns; Diverting colostomy; |
語 文 | 英文(English) |
中文摘要 | 廣泛性的會陰部燒燙傷在臨床上較少見。接近肛門部位的燒燙燒會使得傷口照顧困難及造成較高的移植失敗率。這篇論文報告了在兩位燒傷病人身上使用暫時性大腸造口糞便分流術做治療,兩位病人分別有48%及36%體表面積的燒傷。他們皆因自殺而燒傷且會陰部燒傷離肛門距離不到兩公分。環狀橫結腸造口在疾病治療的早期就施行,且在傷口完全癒合及不再需要施行晚期會陰部疤痕重建術時才將環狀橫結腸造口關閉。我們主張當持續性的糞便污染會延遲傷口癒合及增加移植失敗率時使用暫時性大腸造口來治療廣泛性的會陰部燒燙傷。 |
英文摘要 | Extensive perineal burn is uncommon in clinical cases. Burn in closed proximity to the anus poses difficult wound care and high graft failure rate. This paper reports the use of temporary colostomy for fecal passage diversion in treating two burn patients who suffered from 48% and 36% flame burn respectively. The injuries were resulted from suicidal attempts and the perineum burns were less than 2cm from the anus. Loop transverse colostomies were performed in the early stage of treatment and were closed following complete wound closure and when no late perineum scar surgery was anticipated. We advocate the used of temporary colostomy in the treatment of extensive deep perineum burn as continuous fecal soiling to the wound will delay wound healing and increase the risk of graft failure. (J Plast Surg Asso R.O.C. 2008;17:269~302) |
本系統中英文摘要資訊取自各篇刊載內容。