结肠穿孔22例临床分析

Clinical Analysis of Colon Perforation in 22 Cases

为提高结肠穿孔的诊治水平，回顾性分析结肠穿孔22例。其中外伤性穿孑L45．5％（10／22），肿瘤性穿孔36．4％（8／22），医原性穿孔9.1%（2／22），自发性穿孔4．5％（1／22），炎症性肠病穿孔4．5％（1／22）。病死率13．6％（3／22）。结果表明，结肠穿孔后果严重，根据发病原因。早期发现，选择合理术式是降低病死率及并发症发生的关键。

Colon perforation in 22 cases was analised retrospectively for the objective of improving the diagnosis and treatment of the disease. Of all the 22 cases with colon perforation, traumatic perforation accounted for 45.5 % （10/22）, carcinomatous perforation 36.4 % （8/22）, iatrogenic perforation 9.1 % （2/ 22）, spontaneous perforation 4.5 % （1/22） and inflammatory perforation 4.5 % （1/22） ;the fatality rate was 13.6% （3/22）. Results showed that colon perforation might bring serious outcome,and earlier discovery ＆ proper surgical procedure might play a key role in the reduction of fatality rate ＆. complication occurence.