探讨结肠造瘘术后伴结肠梗阻的原因及预防措施。

回顾性分析27例结肠造瘘术后狭窄伴结肠梗阻的患者的临床病史及经造瘘口造影的影像资料，分析结肠造瘘术后伴结肠梗阻的发生原因。

27例患者中，瘘口出口狭窄16例，瘘口内腔狭窄11例，其中术后瘘口感染21例、瘘口出血4例、瘘口回缩1例、瘘口脱垂1例。

结肠造瘘术后狭窄伴结肠梗阻主要由于术后出现局部并发症造成，术后应及时观察，预防是关键。

To explore the causes of intestinal obstruction and preventive measures after colostomy operation.

To retrospective analysis of 27 patient's clinical history and the fistula angiography image data, who had postoperative stenosis and intestinal obstruction, and to analysis the causes of postoperative stenosis and intestinal obstruction.

Of the 27 patients, 16 cases with narrow fistula exports, 11 cases with fistula lumen stenosis; Among them, 21 cases with postoperative fistula infection, 4 cases with hemorrhage, 1 case with fistula retraction, 1 case with prolapse.

Stenosis and intestinal obstruction after colostomy is mainly caused by postoperative local complications, timely observation and prevention is the key.