Daou R G
Nouv Presse Med. 1979 Jan 27;8(5):327-9.
Thirty four penetrating wounds of the colon in 23 patients were treated by primary surgery. Location of the injuries on the colon, associated injuries and the nature of the missile had not affected the good quality of the results. These are encouraging an attitude towards primary surgery in the management of the colon injuries. Colostomies are still indicated for patients seen lately with severe peritoneal contamination or important lesions of the posterior abdominal wall.
23例患者共34处结肠穿透伤接受了一期手术治疗。结肠损伤的部位、合并伤以及投射物的性质均未影响良好的治疗效果。这些结果促使人们在处理结肠损伤时采取一期手术的态度。对于就诊较晚、伴有严重腹腔污染或后腹壁重要损伤的患者,仍需行结肠造口术。