摘要
目的总结肠扭转的诊断及治疗经验。方法对46例肠扭转患者的临床表现、检查及治疗方法进行回顾性分析,探讨肠扭转的诊断及治疗问题。结果 34例肠扭转行螺旋CT检查确诊;43例手术,3例保守治疗成功。结论本病的确诊依据病史、症状、体征及影像学特别是螺旋CT检查。对于有明显腹膜炎的患者,应及时行手术治疗。对于乙状结肠扭转患者如果症状较轻,可考虑肠镜下试复位,如保守治疗失败或出现肠坏死症状时应及早进行手术。
Objective To summarize the experience of diagnosis and treatment on volvulus. Methods The clinical situations, examinations and treatment methods of 46 patients with volvulus were analyzed retrospectively to discuss the diagnosis and treatment ofvolvulus. Results 34 cases were diagnosed by helical CT, 43 patients received surgery and 3 cases were cured by conservative treatment. Conclusions The diagnosis of volvulus bases on the patients＇ medical history, symptoms, signs and image examination especially helical CT. Patients with obvious peritonitis should take surgical therapy in time. For the sigmoid volvulus patients with slighter symptoms, the reset under the endoscopy can be tried, while when conservative treatment fails or intestinal necrosis appear, the operation should be taken as soon as possible.
出处
《临床医学工程》
2012年第3期388-389,共2页
Clinical Medicine & Engineering
关键词
肠扭转
诊断
治疗
Volvulus
Diagnosis
Treatment
