Cleary Robert K, Pomerantz Richard A, Lampman Richard M
Department of Surgery, St Joseph Mercy Hospital, Ann Arbor, Michigan 48106, USA.
Dis Colon Rectum. 2006 Aug;49(8):1203-22. doi: 10.1007/s10350-006-0620-y.
This study was designed to develop treatment algorithms for colon, rectal, and anal injuries based on the review of relevant literature.
Information was obtained through a MEDLINE ( www.nobi.nih.gov/entrez/query.fcgi ) search, and additional references were obtained through cross-referencing key articles cited in these papers.
A total of 203 articles were considered relevant.
The management of penetrating and blunt colon, rectal, and anal injuries has evolved during the past 150 years. Since the World War II mandate to divert penetrating colon injuries, primary repair or resection and anastomosis have found an increasing role in patients with nondestructive injuries. A critical review of recent literature better defines the role of primary repair and fecal diversion for these injuries and allows for better algorithms for the management of these injuries.
本研究旨在通过回顾相关文献，制定针对结肠、直肠和肛门损伤的治疗算法。
通过医学文献数据库（www.ncbi.nih.gov/entrez/query.fcgi）检索获取信息，并通过交叉引用这些论文中引用的关键文章获得其他参考文献。
共筛选出203篇相关文章。
在过去的150年里，穿透性和钝性结肠、直肠及肛门损伤的处理方法不断演变。自二战期间对穿透性结肠损伤采取转流术以来，对于无损性损伤患者，一期修复或切除吻合术的应用越来越广泛。对近期文献的批判性回顾更好地明确了一期修复和粪便转流在这些损伤中的作用，并有助于制定更好的损伤处理算法。
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