Objective:To explore the value of a two-stitch continuous suture in single- lumen ileostomy.Methods:This was a retrospective cohort study. Data for 98 patients who underwent single-lumen enterostomy were retrospectively collected between 1 January 2021 and 1 May 2022 at Zhujiang Hospital of Southern Medical University. All patients met the indications for prophylactic single-lumen ileostomy. Those older than 80 years of age, with complex underlying diseases, extremely poor systemic conditions who could not tolerate surgery, poor blood supply at the end of the bowel, and severe edema or severe infection at the end of the bowel were excluded. Among the included patients, patients who underwent surgery before 1 October 2021 underwent ileostomy with interrupted suture (control group, n=60), and patients operated on and after 1 October 2021 routinely underwent two-stitch continuous suture ileostomy (two-stitch stoma group, n=38). Two-stitch continuous suture ileostomy is performed as follows: the first continuous suture is used to suture the intestinal seromuscular layer, peritoneum, posterior sheath, and anterior sheath from deep to superficial layers. The bowel wall is then opened. The second continuous suture is used to suture the full thickness of the bowel and the skin. The differences in postoperative ostomy-related complications and operation time were compared between the groups. Results:There were no significant differences in baseline data between the groups (all, P>0.05). The operative time in the two-stitch stoma group was shorter than that of the control group (16.6±2.2 minutes vs. 25.1±2.4 minutes, respectively; t=-17.874; P<0.001). The incidences of mucocutaneous separation, dermatitis, and stoma rebound in the two-stitch stoma group were lower than those of the control group [5.3% (2/38) vs. 31.7% (19/60), χ 2=9.633, P=0.002;5.3% (2/38) vs. 28.3% (17/60), χ 2=7.923, P=0.005; and 2.6% (1/38) vs. 18.3% (11/60), P=0.026, respectively], while the incidences of parastomal hernia and stoma prolapse, and the postoperative visual analog scale scores in the two groups were similar (all P>0.05). Conclusion:Compared with traditional single-lumen ileostomy, two-stitch continuous suture ileostomy has the advantages of short operation time, simplicity, esthetic appearance of the stoma, and a significant reduction in the postoperative complications associated with ileostomy.

目的:分析医护一体化术前肠造口定位对患者术后并发症发生和生活质量的影响.?方法:选择2021年8月—2022年8月我院收治的50例行肠造口术患者作为研究对象,使用随机抽签法将其分为对照组和实验组,每组25例.造口治疗师对患者进行造口定位,其余急诊患者由手术医生自行定位.对照组患者按传统方法由医生手术中实行造口定位,实验组患者由专业造口治疗师及患者参与进行术前造口定位.比较两组患者的干预效果.结果:实验组患者术后并发症发生率低于对照组患者(P<0.05).实验组患者造口完全适应率、中度适应率、干预后生活质量评分均高于对照组患者(P<0.05).结论:医护一体化术前肠造口定位有助于减少患者术后并发症的发生,进而提高患者的生活质量,值得临床借鉴.

目的 总结负压伤口治疗+超声定位+改良冲洗法在慢性窦道伤口中的应用及治疗效果.方法 分析2020年10月—2021年4月在伤口造口护理门诊就诊的9例慢性窦道伤口患者资料,观察患者在负压伤口治疗的基础上,结合超声定位、改良伤口冲洗方法下的窦道愈合情况.结果 9例患者经过(9.25±1.05)d的负压伤口治疗和1～2次超声定位后窦道伤口愈合,愈合时间为(12.25±2.25)d.结论 负压伤口治疗联合超声定位有利于慢性窦道伤口引流彻底,改良冲洗方法有助于坏死组织的冲出,促进慢性窦道伤口愈合,该技术操作方便、安全性强,可在临床推广应用.