摘要
目的 探讨创伤性结肠损伤的诊断和最佳手术方式 ,以提高治疗水平。方法 回顾性分析我院 1991～ 2 0 0 1年收治的 5 2例结肠损伤病例的临床资料。结果 本组多发伤或多脏器伤 39例 (75 % ) ,合并休克 34例 (6 5 .4 % ) ,手术确诊 39例 (75 % ) ,术前确诊仅 13例 (2 5 % ) ,一期修补或切除吻合 5 1例 (98.1% ) ,死亡 2例 (3.8% ) ,切口感染 2例 ,肠瘘 1例。结论 单纯的闭合性结肠损伤早期易误诊 ,不能过分依赖腹穿和隔下游离气体的检查结果 ,一期修补或切除吻合对绝大多数结肠损伤是安全可靠的 ,值得应用。
Objective To explore the diagnosis and the best operative way of traumatic colon injury,and improve its diagnosis and treatment.?Methods The clinical date of 52 cases of colon injury from 1991 to 2001 were retrospectively analysed.?Results Of 52 cases,39 cases(75.0%) were frequent injuries or multiple organ injuries,34cases(65.4%) were complicated by shock,13 cases(25%) were preoperatively diagnosed, and 39 cases were diagnosed in the operation. One stage repair of colon or one stage anastomosis after excision of injuried colon were performed in 51 cases (98.1%) with 2 cases died,infection occurred in 2 cases at anostomesis,and 1 case of colon fistula.?Conclusions Diagnosis of colon injury can not only depend on the results of abdominal puncture and free gas found under the diaphragm since simple closed colon injury is easily misdiagnosed. One stage repair or one stage anastomosis after excision should be recommended for most patients with colon injury.
出处
《创伤外科杂志》
2003年第1期12-13,共2页
Journal of Traumatic Surgery
