摘要
目的探讨结直肠损伤的手术治疗方法。方法对104例结直肠损伤患者的临床资料进行回顾性分析。结果104例结直肠损伤患者均经手术治疗,一期单纯修补或切除吻合91例(80%);二期肠造口或外置术13例(20%),死亡2例,均为多脏器功能衰竭及脑挫裂伤。结论结直肠损伤一期手术是首选的,二期手术适用于结肠重度损伤、腹腔重度污染、全身病情严重及腹膜返折以下的直肠损伤者。
Objective To investigate the surgical treatment of colorectal injuries. Methods Clinical data of 104 patients with penetrating colorectal injuries were retrospectively reviewed. Results Operations were performed in all patients. Ninety-one patients were treated with primary repair or resection and anastomosis, and 13 patients were treated with ostomy or external intestinal surgery. Two deaths caused by multiple organ failure and cerebral contusion. Conclusion Primary repair or resection and anastomosis at the time of initial exploration is most often used for colorectal injuries. Indications for diverting colostomy are severe shock, heavy intra abdominal contamination, poor condition and rectal injury.
出处
《结直肠肛门外科》
2009年第3期155-157,共3页
Journal of Colorectal & Anal Surgery
关键词
结
直肠损伤
诊断
外科手术
Colorectal injury
Diagnosis
Operation
