手术治疗老年结肠穿孔22例

Surgical Treatment of Colonic Perforation in Aged Patients:22 Cases Report

目的 总结老年人结肠穿孔的手术治疗效果。 方法 2 2例老年结肠穿孔患者 ,其中癌性 10例 ( 4 5 .5 % ) ,溃疡性 5例 ( 2 2 .7% ) ,粪性 3例 ( 13.6 % ) ,自发性 4例 ( 18.2 % ) ,行Ⅰ期修补或吻合加术中结肠灌洗 6例 ,Ⅰ期修补加结肠外置 9例 ,Hartmann术 7例。 结果 治愈 18例 ( 81.8% ) ,上述三种方法的治愈率分别为 83.3% ,77.8%和 85 .7%。 结论 手术是治疗老年人结肠穿孔的唯一手段 ,应根据穿孔部位、性质、时间。

Objective To summarize the surgical effects of colonic perforation in old patients. Methods 22 aged patients of colonic perforation were analyzed, including 10 of colonic cancer,5 of ulcer,3 of stool obstruction, and 4 of spontaneity. Colonic repair or anastomosis with intraoperative lavage were performed in 6,colonic repair with the colon exteriorization in 9,and Hartmann's operation in 7. Results 18 cases (81.8%) were cured. The cure rates of the three procedures were 83.3%,77.8% and 85.7% respectively. Conclusions Operation is the only management for colonic perforation. Different methods should be chosen according to the position, the cause, duration of the perforation, and the infection extent of the abdomen.