外伤性结肠破裂27例临床治疗分析

Treatment of Traumatic Colon Broken:Clinical Analysis on 27 Cases

目的:探讨外伤性结肠破裂的临床诊断和治疗方案。方法:回顾性分析我院2016年1月至2022年1月收治的27例外伤性结肠破裂患者的临床资料,根据患者的手术方式分为观察组12例和对照组15例。观察组患者采用一期手术治疗,对照组在一期手术的基础上行二期手术治疗,比较2组患者手术治疗效果、并发症发生情况和患者满意度。结果:观察组患者治疗总有效率和满意度均高于对照组(P<0.05),并发症发生率低于对照组(P<0.05)。结论:创伤性结肠破裂临床症状特异性不强,通过一期手术治疗效果确切,但仍需根据患者实际临床症状、年龄、病情程度等情况选择手术方式,以保证疗效,降低并发症发生率。

Objective To investigate the treatment schema and clinical diagnostic methods of traumatic colon broken.Methods Retrospectively reviewed the data of 27cases of traumatic colon broken who treated in author’s hospital:according to procedures divided the 27cases into observation group(12cases,treated with primary procedure)and control group(15cases,based on primary procedure,received secondary one);then,compared both groups’surgical efficacy,complication incidence,and patients’satisfactory degree.Results In total effective rate and patients’satisfactory degree,and in the incidence of complication observation group was higher and lower than control group(all,P<0.05).Conclusion Seeing that the clinical symptoms don’t have distinct specificity,primary procedure just can arrive determined effect;But it should be to choice procedure according to patients’concrete conditions such as clinical symptoms,age,condition degree,and etc.,so that to ensure effect and to reduce complication.