【摘要】 目的评价1例全骨盆以下离断伤消化道重建术患者远期生活质量。方法 1例全骨盆以下离断伤患者行消化道重建术,术中保留右半结肠,行横结肠造瘘建立人工肛门。术后1、2、3个月及1、2、3、5、9 a记录14项消化道重建术后随访内容,采用3级评分标准。结果患者住院616 d,借助下肢康复材料生活基本自理。术后6个月时饮食类型、饮食量、进食时间、饭后腹胀、烧心感、失眠、体质量减轻、吞咽困难、呕吐和头晕项均达3分,术后2 a起患者消化道重建术后随访内容的评分为42分,达正常成人水平。结论全骨盆离断伤后消化道重建可为患者的长期生存提供保障。更多还原

【Abstract】 Objective To evaluate the long-term quality of life in a patient with whole pelvic amputation after digestive tract reconstruction. Methods A patient with whole pelvic amputation who underwent digestive tract reconstruction. The right hemicolon remained, and the artificial anus was constructed using transverse colostomy. The 14 items of digestive tract reconstruction were recorded at the follow-up of 1, 2, and 3 months, and 1, 2, 3, 5, and 9 years, and each item included 3 levels. Results The patient was hospitalized for 616 days. He lived basically with self-care by virtue of the lower limb rehabilitation materials. The diet type, food intake, eating time, meal bloating, heartburn, insomnia, weight loss, dysphagia, vomiting and dizziness were all scored 3 after 6 months. Total scores of digestive tract reconstruction follow-up were 42 after 2 years, approximating to the levels of healthy adults. Conclusion The digestive tract reconstruction following whole pelvic amputation can guarantee the long-term survival.更多还原