摘要
目的:探讨不同手术方式在结肠损伤中的作用,提高结肠损伤手术治疗的效果。方法:回顾分析1999年2月—2006年10月间28例结肠损伤患者临床资料。结果:一期手术20例(71%),其中5例行一期修补术,未发生肠瘘;15例行一期结肠修补或部分切除结肠吻合后皮下埋置术,其中1例出现肠瘘,保守治疗治愈。结肠造口术8例,其中1例多脏器衰竭死亡;6例二期行造口关闭术。结论:结肠损伤的手术处理方式应遵循安全、可靠的原则,根据具体情况选择适当的手术方式。一期手术对大多数结肠损伤是安全可靠的。
Objective：To assay the effect of different operational treatment after traumatic colon, and to improve the prognosis. Methods： The clinical data of 28 cases of colon injure from February, 1999 to October, 2006 were retrospectively analyzed. Results： Of 28 cases, 20 patients （71%） were administered by one stage operation. Five of them were cured with one stage anastomosis and fifteen of them were done subcutaneous placement after one stage anastomosis or excision of injured colon. Among them one patient had leakage of liquid intestinal and was cured by non-operative method. In addition, colostomy was performed in 8 cases, including one was died of muhiple organs failure. Colostomy apothesis was performed in 6 cases. Conclusion：Different operational method should be used safely in different cases of traumatic colon. The one stage operation is safe and effective for most of traumatic colon.
出处
《中国临床医学》
北大核心
2008年第5期648-649,共2页
Chinese Journal of Clinical Medicine
关键词
结肠
损伤
手术方式
一期修补
Colon
Injure
Operational method
One stage anastomosis
