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闭合性直肠肛管损伤的诊治
引用本文:耿桂飞,徐厚兰. 闭合性直肠肛管损伤的诊治[J]. 蚌埠医学院学报, 2002, 27(5): 409-410. DOI: 10.3969/j.issn.1000-2200.2002.05.015
作者姓名:耿桂飞  徐厚兰
作者单位:安徽省蚌埠市第二人民医院普外科,233000;安徽省蚌埠市第二人民医院普外科,233000
摘    要:目的:探讨闭合性直肠肛管损伤诊治原则.方法:回顾性总结13例闭合性直肠肛管损伤的资料,对闭合性直肠肛管损伤按病因、临床表现、误诊原因、治疗方法进行分析.结果:治愈12例,死亡1例;切口感染8例,并发空肠瘘1例.结论:早诊断、早手术是降低病死率的主要方法,术式的选择与明确诊断时间有关.

关 键 词:直肠/损伤  直肠疾病/外科手术
文章编号:1000-2200(2002)05-0409-02
修稿时间:2001-12-02

Diagnosis and treatment of closed anorectal trauma
GENG Gui fei,XU Hou lan. Diagnosis and treatment of closed anorectal trauma[J]. Journal of Bengbu Medical College, 2002, 27(5): 409-410. DOI: 10.3969/j.issn.1000-2200.2002.05.015
Authors:GENG Gui fei  XU Hou lan
Abstract:Objective:To explore effective approaches for treatment of closed anorectal trauma.Methods:The clinical data of 13 cases of closed anorectal trauma were summerized and the causes,clinical findings,reasons for misdiagnosis and methods of operation were analyzed.Results:Twelve patients were cured and 1 patient died.Infectious incision occured in 8 cases and concomitant intestinal fistula in 1 case.Conclusions:Early diagnosis and prompt operation are the main approaches to reduce the mortality rate,and the choice of operation methods depends on the time of explicit diagnosis.
Keywords:rectum/wounds and injuries  rectal diseases/surgery
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