摘要
目的 :探讨乙状结肠自发性穿孔的病因、诊断及治疗。方法 :对 15例经手术和病理检查证实的乙状结肠自发性穿孔病人的临床资料进行回顾性分析。结果 :15例均经手术探查证实为乙状结肠穿孔。其中 11例术前有慢性习惯性便秘史。本组术前误诊率为 67%。 4例行单纯修补术 ,7例行穿孔修补加乙状结肠造口术 ,4例行肠切除吻合加横结肠造口术。治愈 12例 ,治愈率为 80 %。结论 :乙状结肠自发性穿孔临床较少见 ,该病多见于老年人 ,患者常有慢性习惯性便秘史 ,解剖学因素是穿孔的重要原因之一。该病缺乏特异的临床表现 ,提高术前确诊率的关键在于对本病有充分的认识 。
Objective To explore the causes,diagnosis and treatment of the spontaneous perforation of sigmoid colon (SPSC).Method Retrospective analysis was made on the clinical data of 15 patients who had proved to be SPSC by operation and pathological study.Results All the 15 cases of SPSC were proved by operation,11 of which had a history of chronic constipation.In this group,the preoperative misdiagnosis rate was 67%.Simple neoplasty was done for 4 cases,mend and sigmoidostomy for 7 cases,and resection and intestinal anastomosis plus transverse colostomy for 4 cases.12 out of 15 cases recovered,and the cure rate was 80%.Conclusions SPSC is rare in clinic.This disease is always discovered in senior people,accompanied with a history of chronic constipation.Anatomic agent is one of the important causes.There is no specific clinical manifestation in this disease,therefore, the key to diagnosis is a full knowledge of the disease before operation.The main treatment is surgical procedures.
出处
《东南大学学报（医学版）》
CAS
2003年第3期178-179,共2页
Journal of Southeast University(Medical Science Edition)
