Lazović R, Krivokapić Z, Dobricanin V
Klinicki centar Crne Gore, Hirurska klinika, Centar za abdominalnu hirurgiju.
Acta Chir Iugosl. 2010;57(2):65-9. doi: 10.2298/aci1002065l.
In attemption to determine the place of primary repair in management of colon injuries, an open, non randomized clinical study was performed. Retrospective (RS) group of 62 patients according to exclusion criteria by Stone (S/F) and Flint (F1) was managed by one or two stage surgical procedure. Prospective (PR) group of 34 patients was managed using one stage repair non-selectively: two stage procedures were performed in 3 cases of advanced peritonitis and multi-segmental lacerations with impaired circulation of colon. In RS group 36 patients were managed by primary repair and in PR group, 31 were managed by primary repair. Both groups were of similar age/sex. Indexes of trauma severity were similar (TS, ISS, PATI). The latent time was shorter in PR group. Associated injuries to other body regions and abdominal organs were similar in both groups. S/F criteria and Flint grading in both (RS vs. PR) groups were similar. Comparison of attempted and successful primary repairs justifies the more liberal use of primary repair in early management of colon injuries.
为了确定一期修复在结肠损伤处理中的地位，开展了一项开放性、非随机临床研究。根据斯通（S/F）和弗林特（F1）的排除标准，对62例患者的回顾性（RS）组采用一期或二期手术进行处理。对34例患者的前瞻性（PR）组非选择性地采用一期修复：3例晚期腹膜炎和结肠多节段撕裂且血运受损的患者采用二期手术。RS组中36例患者采用一期修复，PR组中31例患者采用一期修复。两组的年龄/性别相似。创伤严重程度指标相似（TS、ISS、PATI）。PR组的潜伏时间较短。两组其他身体部位和腹部器官的合并损伤相似。两组（RS组与PR组）的S/F标准和弗林特分级相似。对一期修复尝试与成功情况的比较表明，在结肠损伤的早期处理中更应广泛应用一期修复。
