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目的探讨结肠憩室急诊病例一期手术的临床疗效。方法回顾性分析14例结肠憩室急诊病例的临床资料。其中盲肠憩室穿孔3例,升结肠憩室穿孔2例、脓肿1例,降结肠憩室梗阻2例,乙状结肠憩室穿孔2例、出血2例、梗阻2例,均行一期手术切除后吻合。结果全组手术顺利,有2例切口感染,1例肺部感染,所有患者均痊愈出院,无吻合口瘘及腹腔感染等严重并发症发生。结论对具备适应证的结肠憩室急诊病例施行一期手术切除吻合是可行的、安全的。
Objective To investigate the clinical efficacy of primary surgery for colonic diverticular disease in the first phase. Methods Retrospective analysis of 14 cases of colonic diverticular emergency cases of clinical data. There were 3 cases of cecal diverticulum perforation, 2 cases of ascending colon diverticulum perforation, 1 case of abscess, 2 cases of descending colon diverticular obstruction, 2 cases of sigmoid diverticulum perforation, 2 cases of hemorrhage and 2 cases of obstruction. Results All the patients were successfully operated. There were 2 cases of incisional infection and 1 case of pulmonary infection. All patients were cured and discharged without any serious complications such as anastomotic fistula and abdominal infection. Conclusions It is feasible and safe to perform a surgical resection and anastomosis on the emergency cases of colon diverticulum who have indications.