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| 48例乙状结肠扭转的病因诊断及治疗 | |
| 引用本文： | 邱云峰,瞿敏,任重,涂志远,杨维良. 48例乙状结肠扭转的病因诊断及治疗[J]. 中华普外科手术学杂志(电子版), 2011, 5(4): 43-46. DOI: 10.3877/cma.j.issn.1674-3946.2011.04.089 |
| 作者姓名： | 邱云峰 瞿敏 任重 涂志远 杨维良 |
| 作者单位： | 1. 上海市大场医院普外科,200436 2. 同济大学附属同济医院普外一科 3. 哈尔滨医科大学附属二院普外二科 |
| 摘 要： | 目的探讨乙状结肠扭转的病因、诊断及治疗方法。方法对1995年1月至2010年12月诊治的48例乙状结肠扭转的临床资料进行回顾性分析。结果术前通过病史、临床症状、体征及影像学检查明确诊断36例（75.0%）,误诊12例（25.0%）。行手术治疗40例（83.3%）,非手术治疗8例（16.7%）。治愈46例（95.8%）,围手术期死亡2例（4.2%）。本组获随访患者36例（75.0%）,随访最长时间15年,最短时间6个月。手术治疗的患者中有7.5%（3/40）复发,非手术治疗50.0%复发（4/8）;病死率22.2%（8/36）。结论本病的诊断主要依靠临床表现、腹部X线及CT检查。治疗以手术为主,可根据病情及扭转情况选择适当的术式。 |
| 关 键 词： | 结肠,乙状 扭转 诊断 治疗学 |
Clinical analysis of sigmoid volvulus:report of 48 cases |
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| QIU Yun-feng,QU Min,REN Zhong,TU Zhi-yuan,YANG Wei-liang. Clinical analysis of sigmoid volvulus:report of 48 cases[J]. CHINESE JOURNAL OF OPERATIVE PROCEDURES OF GENERAL SURGERY（Electronic Edition）, 2011, 5(4): 43-46. DOI: 10.3877/cma.j.issn.1674-3946.2011.04.089 | |
| Authors: | QIU Yun-feng QU Min REN Zhong TU Zhi-yuan YANG Wei-liang |
| Affiliation: | QIU Yun-feng,QU Min,REN Zhong,TU Zhi-yuan,YANG Wei-liang.Department of General Surgery,Dachang Hospital,Shanghai 200436,China |
| Abstract: | Objective To study the etiology,diagnosis and treatment of sigmoid volvulus.Methods Forty-eight patients with sigmoid volvulus(SV) who had been treated from January 1995 to December 2010 were studied retrospectively.Results By reviewing preoperative history,clinical manifestations,and X-ray and CT findings,36 patients(75.0%) were diagnosed but 12(25.0%) were misdiagnosed.Forty patients(83.3%) were subjected to surgical treatment and 8(16.7%) received conservative treatment.Forty-six patients(95.8%) were cur... |
| Keywords: | Colon sigmoid Intestinal volvulus Diagnosis Thesrapeutics |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |