摘要
目的提高非外伤性结肠穿孔的诊治水平。方法回顾性分析2003年1月～2009年1月18例自发性结肠穿孔患者的临床资料。全部患者均行急诊手术,术前明确诊断11例。行结肠穿孔修补术3例,穿孔段肠外置手术1例,穿孔修补+近段结肠造口术1例,穿孔肠段切除、远端封闭、近端造口(Hartmann术)13例。结果结肠直肠癌性穿孔8例,结肠憩室穿孔5例,结肠粪块性穿孔2例,医源性穿孔3例;17例治愈,1例感染性休克死亡。结论非外伤性结肠穿孔常见于老年患者,有较高的误诊率且预后不良,早期正确诊断和及时恰当的外科治疗是改善预后的关键。
Objective To investigate the etiology,diagnosis and therapy of spontaneous perforation of the colon. Methods The clinical data of 18 cases with spontaneous perforation of the colon from jan.2003 to jan. 2009 were analyze dretrospectively. All cases were under an emergency operation. Suture of perforation,double luminal colostomy of the perforated colon, suture of perforation phssig- moidostomy were performed in 3 , land 1 cases respectively. 13 patiens had been carried out colonectomy of the perforated segment, distal closure and proximal colostomy. Results 17 cases were cured. 1 cases were died. Conclusion Spontaneous perforation of The colonis the most common in the elderly. It has a high misdiagnosisrate and poor prognosis. Early correct diagnosis and appropriate surgical treatment are vital to improve the prognosis.
出处
《中国现代医生》
2010年第10期103-104,共2页
China Modern Doctor
关键词
非外伤性穿孔
结肠穿孔
诊断
治疗
Spontaneous perforation
Colonic perforation
Diagnosis
Therapy
