81例结肠损伤特点及治疗分析  

Clinical characteristic and the curative effect of colon injury

作　　者：吴强[1] 于游[1] 谢勤丽[1] 王灿[1] 

机构地区：[1]重庆市急救医疗中心普通外科,400014

出　　处：《重庆医学》2009年第9期1091-1092,共2页Chongqing medicine

摘　　要：目的探讨结肠损伤的临床特点及治疗方法以提高疗效。方法对2004～2007年收治的81例结肠损伤患者的临床资料进行回顾性的分析。结果81例患者均进行了手术治疗,治愈74例(91%),死亡7例(0.08%)。Ⅰ期手术75例(92%),Ⅱ期手术6例,伤后早期还纳结肠造口2例,晚期还纳结肠造口4例。结论结肠损伤Ⅰ期手术治疗是一种理想可行的手术方法,但必须严格掌握其适应证;Ⅱ期手术可以通过早期还纳结肠造口而提高患者的生活质量,缩短治疗时间。Objective To discuss the clinical characteristic and the treatment of the colon injury for enhancing the curative effect. Methods The 81 patients with colon injury treated in 2004-2007 were retrospectively analyzed. Results 81 examples have carried on the surgery treatment, cured 74 examples（91% ）, died 7 examples. The early time also the colon to make the mouth 2 examples. The later time accepts the colon to make the mouth 4 examples. Conclusion One stage operation for colon injury is one ideal feasible surgery method. But must grasp its adaptation card strictly. Two-stage operation may the early time also accept the colon to make the mouth to improve patient＇s quality of life, reduces the treatment time.

关 键 词：结肠损伤 结肠造口 早期还纳 

分 类 号：R656.9[医药卫生—外科学]