结肠粪性穿孔的临床探讨(附9例报告)

Clinical investigation of stercoral perforation of the colon

目的探讨结肠粪性穿孔的病因、诊断标准和治疗方法。方法回顾性分析9例结肠粪性穿孔患者的临床资料。结果 9例均经手术探查证实结肠粪性穿孔,常伴有便秘、糖尿病、高血压等疾病。本组均根据手术及病理报告而明确诊断,术前误诊率达88.9%。本组死亡5例,死亡率为46.9%。结论结肠粪性穿孔的误诊率高,及时而合理的手术治疗是降低结肠粪性穿孔死亡率的关键。

Objective To investigate the causes,diagnosis and treatment of stercoral perforation of the colon （SPC）.Methods The data of 9 cases with SPC were analyzed retrospectively.Results Nine cases of SPC were confirmed by operation.Most of them had chronic constipation,diabetes,hypertension.The misdiagnosis rate was 96.9%.Five cases died after operation.The mortality was 46.9%.Conclusion The misdiagnosis rate of SPC is high.Suitable surgical treatment in time is the key to decrease mortality.