创伤性结肠损伤64例临床分析  

Traumatic colon injury in 64 cases

作　　者：凌建军[1] 

机构地区：[1]兴文县人民医院,四川兴文644400

出　　处：《四川医学》2011年第12期1978-1980,共3页Sichuan Medical Journal

摘　　要：目的探讨创伤性结肠损伤的手术方式和治疗结局,为临床治疗提供进一步的指导依据。方法回顾性分析我院2008年1月～2011年1月收治的64例创伤性结肠损伤的临床资料。结果全部患者经手术治疗后,64例均获痊愈,无肠瘘发生。4例因切口感染,经换药后痊愈,2例并发腹腔残余脓肿均经非手术治疗治愈,5例术后出现炎性肠梗阻,经保守治疗好转出院。结论对于创伤性结肠损伤患者,应积极应用抗生素预防感染,严格掌握手术适应证,术中充分进行肠道灌洗,一期修补或切除吻合是治疗创伤性结肠损伤理想的手术方法之一。Objective Traumatic colon injury and treatment of surgical outcomes for clinical treatment and provide further guidance basis. Methods A retrospective analysis of our hospital in January 2008 - January 2011 64 patients were treated traumatic colon injury clinical data. Results All patients after surgery, 64 patients were cured and no intestinal fistula. 4 cases were due to wound infection, cured by dressing, and 2 cases were complicated with abdominal residual abscess cured by conservative treatment, 5 cases of postoperative intestinal obstruction, improved and discharged after conservative treatment. Conclusion For patients with traumatic colon injury, should be actively antibiotics to prevent infection, strict control of surgical indications, intraoperative intestinal lavage full, a repair or resection and anastomosis of traumatic colon injury ideal surgical methods.

关 键 词：创伤性结肠损伤 一期手术 二期手术 

分 类 号：R656.9[医药卫生—外科学]