自发性结肠穿孔临床分析  

CLINICAL CHARACTERISTICS OF SPONTANEOUS RUPTURE OF COLON:A REPORT OF 12 CASES

作　　者：王素娟 赵永魁 刘志昊 成杰 

机构地区：[1]华北理工大学附属医院手术室,河北省唐山市063000 [2]华北理工大学附属医院普通外科 [3]开滦总医院范各庄医院外二科 [4]华北理工大学附属医院神经外科

出　　处：《中国煤炭工业医学杂志》2017年第10期1123-1126,共4页Chinese Journal of Coal Industry Medicine

基　　金：河北省卫计委重点科技研究计划(编号:20150088)

摘　　要：目的对自发性结肠穿孔病例进行临床分析。方法回顾性分析华北理工大学附属医院2010年6月—2017年6月收治的自发性结肠穿孔患者的临床病例,分析其临床特征、治疗方法及预后。结果自发性结肠穿孔病例12例,男8例,女4例;8例有慢性便秘史;穿孔位于直肠者2例、直乙交界处4例、位于乙状结肠肠者2例,位于升结肠4例;均采用手术治疗,10例患者痊愈。结论自发性结肠穿孔术前诊断困难,术前详细询问病史,积极手术治疗,术中仔细探查,防治遗漏病变是改善预后的关键。Objective To summarize the experiences of spontaneous perforation of colon.Methods The clini-cal data of 12 spontaneous perforation of colon cases administered to author＇s hospital from June 2010 to July 2017 were retrospectively analyzed.Results There were 8 males,4 females; 8 cases had chronic Constipation history.Perforation of 2 cases was located in the rectum, 4 cases in the sigmoid colon junction, 2 cases in the sigmoid colon,and 4 cases in the ascending colon.All the cases were treated by operation,and all the 12 cases recovered.Conclusion Preoperative diagnosis of spontaneous rupture of colon is difficult.Preoperative detailed history,active surgical treatment,careful exploration during operation, prevention and treatment of missing le- sions are the keys to improve prognosis.

关 键 词：自发性结肠破裂 特发性结肠破裂 便秘 手术治疗 

分 类 号：R656.9[医药卫生—外科学]