急性非肿瘤性结肠穿孔治疗体会  

The surgical treatment of acute non-cancerous perforation of colon

作　　者：任宇峰[1] 欧柳菁[1] 涂春明[1] 

机构地区：[1]北京仁和医院普外科,102600

出　　处：《中国医药》2010年第5期435-436,共2页China Medicine

摘　　要：目的探讨急性非肿瘤性结肠穿孔的病因、诊断及治疗。方法回顾性分析1995年1月至2005年1月收治的18例急性结肠穿孔患者的临床资料，18例患者均行剖腹检查。结果全组18例术后病理证实均为非肿瘤患者，其中切口感染5例（27．8％）经切口换药治愈；腹腔脓肿1例（5．6％），经再次手术引流3周痊愈；其余均为一期手术治愈。本组手术病例术后均无肠瘘发生，亦无死亡病例。结论急性非肿瘤性结肠穿孔的早期诊断、尽早手术治疗及依据病情选择合理手术方式是提高治愈率的关键。Objective To investigate the cause, diagnosis and surgical treatment of acute non-cancerous perforation of colon. Methods The data of 18 case of colonic perforation from 1995 to 2005 were analyzed retrospectively. Results Of 18 cases, 12 cases were surgical trauma colonic perforation;2 cases were inflammatory co- lonic perforation;1 case were iatrogenic colonic perforation;1 case was foreign body iatrogenic colonic perforation and 2 cases were stercoral perforation of colon. 11 cases were misdiagnosed ;9 cases were sutured and 8 case were ostomied. One was ectomized and anastomosed. Conclusion The key to improve cure rate of the colonic perforation is early diagnosis, early operation and appropriate operative methods.

关 键 词：急性非肿瘤性结肠穿孔 诊断 手术治疗 

分 类 号：R656.1[医药卫生—急诊医学]