肛管直肠损伤37例诊治分析

Diagnosis and treatment of 37 cases of anorectal injuries

目的:探讨肛管直肠损伤的诊断和治疗。方法:对1999年1月至2009年1月收治的37例肛管直肠损伤患者的病例资料进行回顾分析。结果:直肠损伤29例,肛管损伤8例,合并伤26例。37例均行手术治疗,单纯修补加局部引流17例,修补加结肠造口14例,单纯粪便转流加引流6例。36例治愈,1例死亡。7例术后发生并发症。结论:早期诊断,合理应用修补、转流、引流三项措施,控制感染和积极处理合并伤是提高治愈率、降低病死率的关键。

Objective：To investigate the diagnosis and treatment of anorectal injuries.Methods：The clinical data of 37 patients with anorectal injuries from Jan.1999 to Jan.2000 were analyzed.Results：Of the 37 patients,29 had rectal injuries,8 cases anal injuries and 26 cases presented combined injuries.All the cases received surgical therapy.Simple anorectal repair plus drainage was performed in 17 cases,anorectal repair plus sigmoid colostomy in 14 cases and colostomy for fecal diversion and drainage in 6 cases.Thirty-six of the 37 cases were cured and 1 died.Complications occurred in 7 cases.Conclusions：Early diagnosis,proper application of repair,fecal diversion and drainage,positive management of infection and associated injuries are essential to improve the cure rate and reduce the mortality of anorectal injuries.