摘要
目的探讨乙状结肠扭转的临床特点及治疗方法。方法对50例乙状结肠扭转患者的临床资料进行回顾性分析。结果亚急性起病40例,急性起病10例。28例有腹痛、腹胀、便秘三联征。40例通过X线检查而确诊。非手术治疗6例,成功4例。手术治疗46例,一期切除吻合22例,Hartmann手术10例,侧腹膜固定7例,乙状结肠系膜成形7例,治愈45例。结论腹痛、腹胀、便秘病史三联征是乙状结肠扭转的主要临床表现。X线检查为首选检查,治疗应加强围手术期处理,个体化选择治疗方案。
Objective To summarize the experience of the diagnosis and treatment of sigmoid volvulus. Methods The clinical manifestation and treatment of 50 cases of sigmoid volvulus were analysed retrospectively. Results 40 cases were subacute progreissive type, 10 cases were acute fulminating type. 28 cases got abdominal pain, abdominal distension and consti- pation. 40 cases got explicit diagnasis by X - ray. 6 cases got physical treatment and 4 cases succeeded. 46 cases had been operated in case of emergency. Among them 22 cases got one - stage resection and anastomosis, 10 cases got Hartmann$ operation and anastonosis secondly ,Tcases got reposition and immobilization ,7 cases got mesoplasty. 45 cases succeeded. Conclusion Abdominal pain, abdominal distension and constipation are chief clinical manifestation of sigmoid volvulus. X - ray is the first choice of examination. Treatment should be reinforced in the peri - operation and based on different patients＇ condition of the sick.
出处
《临床合理用药杂志》
2009年第1期23-24,共2页
Chinese Journal of Clinical Rational Drug Use
关键词
乙状结肠扭转
诊断
治疗
Sigmoid volvulus
Diagnosis
Treatment
