摘要
结肠损伤发生率不高．但处理不当后果严重。以往对结肠损伤均采用一期造口二期还纳的处理方法，不但增加患者痛苦，也浪费宝贵的医疗资源。近年来的研究结果表明．创伤后生理状况不稳定是导致结肠吻合口瘘的主要原因。因此，主张对于生理状况稳定的患者，可以进行结肠修补或一期切除吻合。对于腹腔开放或暂时性腹腔关闭的患者．在确定性关腹时也可以对符合条件的患者进行结肠切除吻合术。
The incidence of colon injury is low but is associated with adverse outcome if managed inadequately. Colostomy and secondary closure has been the traditional management, which is associated with more pain to the patient and a waste of medical resource. Recent studies indicate that physiologic disturbances after trauma is the main risk factor of anasiomotic leak, therefore primary repair or resection and anastomosis is feasible if physiological status of the patient is stable as calibrated by New Injury Severity Score and ASA score. For patients with open abdomen or temporary eh）sure, colonic resection can also be performed at definitive abdominal closure in select cases.
出处
《中华胃肠外科杂志》
CAS
2012年第12期1214-1217,共4页
Chinese Journal of Gastrointestinal Surgery
关键词
腹部创伤
结肠损伤
肠瘘
腹腔开放
Abdominal trauma
Colon injury
Enterocutaneous fistula
Open abdomen
