嵌顿性疝致结肠缺血坏死的诊治分析  

作　　者：杨常印 

机构地区：[1]山东省聊城市中医院外一科,252000

出　　处：《当代医学》2012年第26期97-98,共2页Contemporary Medicine

摘　　要：目的探讨嵌顿性疝致结肠缺血坏死的急诊治疗策略。方法回顾分析2000～2009年山东省聊城市中医院外一科收治的11例嵌顿性疝致结肠坏死的病例资料。结果行一期疝修补术9例,一期肠切除吻合9例,肠切除并造口2例,术后腹部切口感染2例,疝切口感染1例,疝复发1例,无吻合口漏发生,无手术死亡病例。结论⑴嵌顿疝致结肠坏死的治疗,对于无穿孔的患者,一期疝修补术及一期肠切除吻合是可行的;⑵术中给予结肠减压及灌洗去污,是预防吻合口瘘的关键因素之一。Objective To investigate the incarcerated hernia in the emergency treatment of ischemic necrosis of the colon strategy.Methods Retrospective analysis of our hospital,2000～2009 11 cases of incarcerated hernia induced colonic necrosis were compared.Results One stage hernia repair in 9 cases,a bowel resection and anastomosis in 9 cases,bowel resection and colostomy in 2 cases,2 cases of postoperative abdominal wound infection,wound infection in 1 case hernia,hernia recurrence in 1 case,no anastomotic leakage occurred There was no operative mortality.Conclusion ⑴Incarcerated hernia caused by the treatment of colon necrosis,for patients without perforation,a hernia repair and a bowel resection anastomosis is feasible.⑵Decompression and intraoperative colonic lavage given decontamination is to prevent anastomotic leakage of the key factors.

关 键 词：嵌顿疝 结肠缺血坏死 外科治疗 

分 类 号：R656.2[医药卫生—外科学]