摘要
目的探讨创伤性结肠损伤的诊断和处理方法。方法回顾性分析2001年1月至2009年12月间我院结肠损伤42例的临床资料。结果一期手术治疗33例，其中一期修补20例，一期肠切除吻合13例。二期手术9例，其中原位修补外置2例，肠破裂修补或损伤肠部分切除吻合加近端造瘘术5例，结肠造瘘术2例。术后死亡2例。结论结肠损伤患者早期诊断后，严格掌握手术适应证，一期手术治疗是可行的。
Objective To investigate diagnosis and treatment of the traumatic colon injury. Methods A retrospective analysis clinical data from January 2001 to December 2009,42 cases of colon injury in my hospital. Results The results of one surgical treatment of 33 eases,including a repair in 20 cases, a bowel resection and anastomosis in 13 cases. 2 surgery in 9 cases, including two cases of in situ external repair, intestinal rupture repair or injury increases intestinal resection and anastomosis of the proximal part of the five cases of gastrosto- my, colostomy in 2 cases. Died after operation in 2 cases. Conclusion Early diagnosis of patients with colon injury, the strictly controlled surgical indications, one surgical treatment is feasible.
出处
《中国临床实用医学》
2010年第6期62-63,共2页
China Clinical Practical Medicine
关键词
结肠/损伤
一期手术
创伤和损伤/外科学
Colon/injuries
One surgical operation
Wounds and injuries/surgery
