首页|乙状结肠扭转致肠梗阻的临床分析

乙状结肠扭转致肠梗阻的临床分析

扫码查看
目的:探讨分析乙状结肠扭转致肠梗阻的临床情况,分析治疗方法和效果。方法:收集2013年2月-2014年3月到我院实施诊治的乙状结肠扭转致肠梗阻患者临床资料,抽取78例作为本次研究对象,根据治疗方法的不同,分为三组,即A组(一期实施乙状结肠切除术、乙状结肠和直肠端端吻合术),B组(事先实施乙状结肠造瘘术,二期实施乙状结肠和直肠端端吻合术),C组(仅予以乙状结肠系膜固定),各组病例分别为26例,观察三组并发症发生情况。结果:78例患者均治愈,未出现死亡病例,其中有3例患者出现伤口感染,A组有1例,B组有2例;2例患者出现脂肪液化,均为C组,未发生严重肠瘘并发症。结论:乙状结肠扭转致肠梗阻临床指治疗中,基于患者病情采取个体化治疗,可行性强且安全。
Objective:To investigate the clinical analysis of sigmoid volvulus induced intestinal obstruction, treatment methods and effect analysis. Methods:from 2013 February- 2014 year in March to our hospital for diagnosis and treatment of sigmoid colon torsion caused by clinical data of patients with intestinal obstruction, 78 cases were selected as the research object, according to the different treatment methods, divided into three groups, namely group A (sigmoid resection, the sigmoid colon and rectum anastomosis imple-mentation a), B group (prior to the implementation of the sigmoid colostomy, two phase of implementation of the sigmoid colon and the rectum anastomosis), group C (only to the sigmoid mesocolon fixed), all cases were 26 cases, observe three groups of complications. Results:78 cases were cured, and no deaths, of which 3 patients had wound infection, 1 cases in group A, there were 2 cases in group B;2 patients had the fat liquefaction were group C, no serious complications of intestinal fistula. Conclusion:volvulus of sigmoid colon ob-struction caused by clinical treatment, individualized treatment based on patient condition, strong feasibility and safety.

Clinicalintestinal obstructiontreatmentsigmoid volvulus

余剑雄、庞学武

展开 >

四川南充卫生学校附属医院 637000

临床 肠梗阻 治疗 乙状结肠扭转

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(10)
  • 5