乙状结肠扭转的手术治疗

目的探讨乙状结肠扭转的合理手术治疗。方法回顾性分析36例乙状结肠扭转手术病人的临床资料,总结手术治疗的实践经验。结果36例中,7例经保守治疗治愈,后来4例复发行手术治疗;3例行乙状结肠复位固定术治愈;9例行乙状结肠复位系膜短缩固定术治愈,后来2例复发,再手术行乙状结肠大部切除术治愈;2例行乙状结肠肠造瘘2期大部分切除吻合术治愈;15例行乙状结肠大部分切除1期吻合术治愈。结论乙状结肠扭转需手术治疗,乙状结肠大部分切除吻合术是最佳术式,1期切除吻合术是可行的。

Objective To explore surgical treatment methods of sigmoid colon volvulus.Methods The clinical data of 36 patients With sigmoid colon Volvulus by surgical treatment from 1998 to 2006 in Depart- ment of general surgery of Yexian people's Hospital were analysed retrospectively,and evaluate the feasibility and efficacy of surgical treatment.Results Seven patients were cured by non-operative therapy,and four pa- tients of them had a relapse and they were treated by operation again;three patients were cured by fixation of sigmoid colon;nine patients were cured by fixation of sigmoid colon after shorten mesentery,and two patients of them had a relapse and they were cured again by resection and anastomosis of partial sigmoid colon;two pa- tients were cured by resection and anastomosis during second stage of partial sigmoid colon after laid partial sig- moid colon out;fifteen patients were cured by resection and anastomosis during first stage of partial sigmoid colon.Conclusion Sigmoid colon volvulus should be treated by operative therapy,the best surgical style is re- section and anastomosis of partial sigmoid colon,resection and anastomosis during first stage of partial sigmoid colon is feasible.