Biriukov Iu V, Volkov O V, An V K, Borisov E Iu, Dodina A N
Khirurgiia (Mosk). 2000(7):41-3.
The analysis of treatment results in 112 patients with foreign bodies in the rectum, aged from 16 to 80 years, was carried out. 99.1% of the patients were men. All the patients were examined and treated in proctology department of the Moscow municipal clinical hospital N 67 from 1969 to 1998. The examination was made by standard scheme, including rectal touch, rectoromanoscopy, X-ray and ultrasonic examinations. In 107 patients the foreign body was removed without surgery, 5 patients required laparotomy. When possible it was removed by fingers and also with use of forceps. When small foreign bodies could not be reached by finger, they were removed through rectoscope. Foreign bodies of big sizes, proximal end of which was in the sigmoid colon, were removed under anasthesia with the help of the assistant who fixed the foreign body through the abdominal wall in the left ileac region. In impossibility of the subject removal by these methods and presence of complications (perforation, peritonitis), laparotomy with subsequent transanal subject removal without colon section was performed, in case of perforation--with wound suturing or colostomy.
对112例年龄在16至80岁之间的直肠异物患者的治疗结果进行了分析。患者中99.1%为男性。所有患者于1969年至1998年在莫斯科市第67临床医院的直肠病科接受检查和治疗。检查采用标准方案，包括直肠触诊、直肠乙状结肠镜检查、X线和超声检查。107例患者的异物未通过手术取出，5例患者需要剖腹手术。可能的话，用手指取出异物，也可使用镊子。当手指无法触及小的异物时，通过直肠镜将其取出。对于较大的异物，其近端位于乙状结肠，在麻醉下，由助手通过腹壁在左髂区固定异物后将其取出。若无法通过这些方法取出异物且出现并发症（穿孔、腹膜炎），则进行剖腹手术，随后经肛门取出异物而不进行结肠切除，若发生穿孔，则进行伤口缝合或结肠造口术。
