伤寒肠穿孔的手术治疗结果。
Outcome of surgical treatment of intestinal perforation in typhoid fever.
机构信息
Department of General Surgery, Medical Faculty, University of Yüzüncü Yil, Van 6500, Turkey.
出版信息
World J Gastroenterol. 2010 Sep 7;16(33):4164-8. doi: 10.3748/wjg.v16.i33.4164.
AIM
To represent our clinical experience in the treatment of intestinal perforation arising from typhoid fever.
METHODS
The records of 22 surgically-treated patients with typhoid intestinal perforation were evaluated retrospectively.
RESULTS
There were 18 males and 4 females, mean age 37 years (range, 8-64 years). Presenting symptoms were fever, abdominal pain, diarrhea or constipation. Sixteen cases were subjected to segmental resection and end-to-end anastomosis, while 3 cases received 2-layered primary repair following debridement, one case with multiple perforations received 2-layered primary repair and end ileostomy, one case received segmental resection and end-to-end anastomosis followed by an end ileostomy, and one case received segmental resection and end ileostomy with mucous fistula operation. Postoperative morbidity was seen in 5 cases and mortality was found in one case.
CONCLUSION
Intestinal perforation resulting from Salmonella typhi is an important health problem in Eastern and Southeastern Turkey. In management of this illness, early and appropriate surgical intervention is vital.
目的
介绍我们在治疗伤寒性肠穿孔方面的临床经验。
方法
回顾性分析 22 例手术治疗的伤寒性肠穿孔患者的临床资料。
结果
男 18 例，女 4 例，平均年龄 37 岁（8~64 岁）。主要表现为发热、腹痛、腹泻或便秘。16 例行肠段切除吻合术，3 例行清创后双层一期修补术，1 例多发穿孔行双层一期修补加末端回肠造口术，1 例肠段切除吻合术后加末端回肠造口术，1 例肠段切除加末端回肠造口及黏膜瘘手术。术后 5 例出现并发症，1 例死亡。
结论
土耳其东部和东南部的伤寒性肠穿孔是一个重要的健康问题。治疗这种疾病时，早期和适当的手术干预至关重要。
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