摘要
为了探讨创伤性结肠损伤的手术方式，作者总结了创伤性结肠损伤６２例的于术治疗经验。６２例结肠损伤依据Ｆｌｉｎｔ三级法和Ｓｈａｎｎｏｎ五级法分级，选择手术方式，行一期手术３９例，其中单纯修补缝合１９例，切除吻合２例，１８例因不符合一期手术条件，采用修补缝合加伤部近端蕈状管造瘘，疗效满意。二期手术２３例，其中行结肠外置修补术６例，造口术１７例，仅一例行造口术患者术后死于多器官功能衰竭。作者认为只要病例选择、处理方法恰当，适当放宽一期手术的适应症是安全的；造口术的并发症多，病死率高，应严格掌握其适应症。
he treatment of 62 patients with colonic trauma were reported. According to Flint’sand Shannon’s classification,we made the choice of surgical intervention,including primaryrepair(19 cases)and resection and anastomosis(2 cases).Because 18 patients were unsuit-able for first phase operation,the simple repair and colostomy with a mushroom-tube inproximity of injury site was done , and achieved good results. The second phase operationwas performed in 23 patients, 6 of them underwent extriorized repair of colon injuries,colostomy was done in 17 with only one patient died of MOF. The author believe that if se-lect patients carefully and perform correct operation. it is safe to extend the indications forfirst phasse operation. With more complications and a high mortality of colostomy,the ind-cation of colostomy should be strictly observed.
出处
《上海医学》
CAS
CSCD
北大核心
1996年第7期385-387,共3页
Shanghai Medical Journal
关键词
结肠损伤
分级
外科手术
Colon trauma
Classification
Operative management.
