回盲皱襞覆盖在回盲部结肠憩室穿孔中的疗效观察  

Effect of Treves plica covering on colonic diverticulum perforation in ileocecal part

作　　者：孙少明 陈根 庒始建 王文俊[1] SUN Shaoming;CHEN Gen;ZHUANG Shijian(Department of General surgery,Zhongshan Hospital affiliated to Dalian University,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院普外科,116001

出　　处：《临床外科杂志》2021年第8期779-780,共2页Journal of Clinical Surgery

摘　　要：目的分析回盲皱襞覆盖在回盲部结肠憩室穿孔应用的疗效。方法 2015年9月~2019年12月收治的阑尾多发憩室并结肠憩室穿孔病人40例,分为A、B两组,A组采用回盲皱襞覆盖憩室穿孔部位,B组采用带蒂后腹膜或肠脂垂覆盖修补穿孔部位,比较两组治愈率、死亡率、进食时间、平均住院时间和并发症情况。结果两组病人均治愈出院,无死亡病例。A组平均住院时间为(5±0.56)天,B组为(9±2.59)天,两组比较差异有统计学意义(P <0.05);A组术后平均进食时间为(1±0.76)天,B组为(2±1.76)天,两组比较差异无统计学意义(P> 0.05);A组并发症发生率为5%,B组为20%,两组比较差异有统计学意义(P <0.05)。结论回盲皱襞缝合固定修补结肠憩室穿孔,效果确切,术后并发症少,恢复时间快。Objective To explore the clinical application of ileocecal plica( Treves plica) covering in colonic diverticulum perforation in ileocecal part. Methods A retrospective analysis of zhongshan hospital affiliated to dalian university in September,2015-December 2019 treated 40 cases of appendix multiple diverticulum and colonic diverticulum perforation clinical data,divided into two groups,adopting group A blind fold back cover diverticulum perforation position,group B with pedicle retroperitoneum or intestinal fat covering parts repairing perforation,statistical group cure rate,mortality rate,the meal time,the average length of hospital stay and complications. Results The two groups of patients were cured and discharged without death. The average length of hospital stay in group A was( 5 ±0. 56) d,and that in group B was( 9 ± 2. 59) d. The average postoperative feeding time in group A was( 1 ±0. 76) d,and the average postoperative feeding time in group B was( 2 ± 1. 76) d. P > 0. 05 was not statistically significant. Complications of the two groups were 5% in group A and 20% in group B,the difference was statistically significant( P < 0. 05). Conclusion Ileocecal plica suture and fixation for colonic diverticulum perforation is effective,with fewer postoperative complications and faster recovery time.

关 键 词：回盲皱襞 憩室穿孔 临床体会 

分 类 号：R656.9[医药卫生—外科学]