42例创伤性结肠损伤的诊疗体会  

作　　者：赵云青 徐前坤 

机构地区：[1]武汉市武东医院,430084

出　　处：《中国临床实用医学》2010年第6期62-63,共2页China Clinical Practical Medicine

摘　　要：目的探讨创伤性结肠损伤的诊断和处理方法。方法回顾性分析2001年1月至2009年12月间我院结肠损伤42例的临床资料。结果一期手术治疗33例，其中一期修补20例，一期肠切除吻合13例。二期手术9例，其中原位修补外置2例，肠破裂修补或损伤肠部分切除吻合加近端造瘘术5例，结肠造瘘术2例。术后死亡2例。结论结肠损伤患者早期诊断后，严格掌握手术适应证，一期手术治疗是可行的。Objective To investigate diagnosis and treatment of the traumatic colon injury. Methods A retrospective analysis clinical data from January 2001 to December 2009,42 cases of colon injury in my hospital. Results The results of one surgical treatment of 33 eases,including a repair in 20 cases, a bowel resection and anastomosis in 13 cases. 2 surgery in 9 cases, including two cases of in situ external repair, intestinal rupture repair or injury increases intestinal resection and anastomosis of the proximal part of the five cases of gastrosto- my, colostomy in 2 cases. Died after operation in 2 cases. Conclusion Early diagnosis of patients with colon injury, the strictly controlled surgical indications, one surgical treatment is feasible.

关 键 词：结肠/损伤 一期手术 创伤和损伤/外科学 

分 类 号：R656.9[医药卫生—外科学]