摘要
目的 提高对闭合性肠系膜损伤的认识。方法 对 2 4例闭合性肠系膜损伤的类型、手术方式进行回顾性分析。结果 2 4例中 ,1 1例行肠切除术 (45 .8% ) ;肠系膜上静脉结扎 2例 (8.3 % ) ;肠系膜上静脉修补 2例 (8.3 % ) ;肠系膜修补术 9例 (37.5 % )。死亡 1例 ;切口感染 2例 ;切口裂开 1例 ;盆腔积液 1例。结论 闭合性肠系膜损伤诊断较困难 ,早期诊断及手术治疗能有效降低肠切除率 ,防止并发症发生。
Objective To improve the treatment of closed mesenteric injuries.?Methods The clinical data of 24 cases of closed mesenteric injuries were analysed.?Results Resection of intestine were performed in 11 cases(45.8%),ligation of superior mesenteric vein in 2 cases(8.3%),repair of superior mesenteric vein in 2 cases(8.3%),and repair of mesenteric defect in 9 cases (37.5%) .In the 24 cases,1 case died,wound was infected in 2 cases,wound cracked in 1 case,pelvic cavity effusion formed in 1 case.?Conclusion It is more difficult to diagnose the closed mesenteric injuries in early stage.The correct diagnesis and emergent operation can avoid efficiently resection of intestine and certain complications.
出处
《创伤外科杂志》
2002年第1期29-30,共2页
Journal of Traumatic Surgery
