Bezlutskiĭ P G, Elozo V P, Gorban' V A
Khirurgiia (Mosk). 1991 May(5):71-5.
From experience in the treatment of 202 patients with extraperitoneal injury to the rectum, the authors suggest that the choice of the method of management should be based on strict consideration for the etiology, the degree of injury to the rectal wall, the location of the injury, and the presence of early and late-term complications. Various methods of treatment are recommended depending on the character of the injury. Treatment in this case must be strictly individual. Thoroughness of surgical debridement, timely formation of colostomy, and correct choice of the time for plastic operations are also very important. With adherence to the suggested conditions for the choice of the method of treatment good results were produced in all patients.
根据对202例直肠腹膜外损伤患者的治疗经验，作者认为治疗方法的选择应严格考虑病因、直肠壁损伤程度、损伤部位以及早期和晚期并发症的存在情况。根据损伤的特点推荐采用不同的治疗方法。这种情况下的治疗必须严格个体化。手术清创的彻底性、及时进行结肠造口术以及正确选择整形手术的时机也非常重要。遵循建议的治疗方法选择条件，所有患者均取得了良好的治疗效果。
