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The diagnosis and treatment of sigmoid volvulus:A review of 27 cases
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 2
- DOI:
- 10.3760/cma.j.issn.1671-0274.1999.02.008
- Key Word:
- 乙状结肠扭转;诊断;治疗
Abstract： 目的总结乙状结肠扭转的诊治经验. 方法对27例乙状结肠扭转患者的临床表现及治疗方法进行回顾性分析,结合文献讨论乙状结肠扭转的诊治问题.结果 16例经腹部X线检查确诊,其中6例经结肠镜诊断,4例经剖腹探查确诊,其中1例误诊为"胃扩张".16例行保守治疗,12例成功,均无并发症表现.15例手术治疗(8例扭转复位加固定术,7例乙状结肠一期切除吻合术),术后1例伴严重糖尿病者死于肺部感染及心律失常,无吻合口漏.结论老年男性腹痛、腹胀和便秘应考虑本病的可能.X线检查可使约60%的患者确诊.对于无肠坏死及腹膜炎的患者,行结肠镜检查有明显优点,诊断后即可试行复位,成功率高,风险小.对于有肠坏死及腹膜炎的患者,应及时手术治疗.
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