结直肠异物的诊断和治疗  

Diagnosis and Management of Colorectal Foreign Bodies

作　　者：李胜利[1] 陈尔东[1] 

机构地区：[1]齐齐哈尔医学院附属第三医院,黑龙江齐齐哈尔161000

出　　处：《医学综述》2007年第5期380-382,共3页Medical Recapitulate

摘　　要：结直肠异物少见,但一直是临床医生所面临的挑战。钳顿的结直肠异物常导致梗阻、疼痛、出血等一系列临床表现,忽略对本病的认识可能导致误诊。大部分结直肠异物与性自慰行为有关。结肠镜是一种方便的取异物方法,无合并症的结直肠异物可以在充分麻醉下经肛门取出。腹腔镜联合经肛门途径取异物是另一种值得选择的方法。开腹手术适用于合并腹膜炎和肠穿孔患者。个别异物自腹壁穿出者也可经腹壁将异物取出。合理的治疗策略有助于临床医师选择结直肠异物的治疗方法。Despite their rarity, colorectal foreign bodies have always been a challenge to the physicians taking care of these patients. The retained colorectal foreign bodies may show a series of clinical manifestations such as ileus, anal pain and bleeding. The neglect of the reeognation of this diseases will result in misdiagnosis. Most of this diseases is related to sexy behavior of console oneself. Colonoseopic extraction provides a convenient technique. The uncomplicated rectal foreign bodies can be simply extracted per anum under adequate anesthesia. A combined laparoscope and per anum approach is another alterative choice. Open surgery is suitable to patients with peritonitis and enterobresis .The colonic foreign body protruding from the abdomen could be extracted transabdominany. The rational strategy of management will provide some reference for treatment of colorectal foreign bodies.

关 键 词：异物 结直肠 诊断 治疗 

分 类 号：R574.63[医药卫生—消化系统]