• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

结肠损伤的一期修复：非选择性方法的临床研究。

Primary repair of colon injuries: clinical study of nonselective approach.

机构信息

Department of Abdominal Surgery, Clinical Center of Montenegro, Podgorica, Montenegro.

出版信息

BMC Gastroenterol. 2010 Dec 2;10:141. doi: 10.1186/1471-230X-10-141.

DOI:10.1186/1471-230X-10-141
PMID:21126337
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3014882/
Abstract

BACKGROUND

This study was designed to determine the role of primary repair and to investigate the possibility of expanding indications for primary repair of colon injuries using nonselective approach.

METHODS

Two groups of patients were analyzed. Retrospective (RS) group included 30 patients managed by primary repair or two stage surgical procedure according to criteria published by Stone (S/F) and Flint (Fl). In this group 18 patients were managed by primary repair. Prospective (PR) group included 33 patients with primary repair as a first choice procedure. In this group, primary repair was performed in 30 cases.

RESULTS

Groups were comparable regarding age, sex, and indexes of trauma severity. Time between injury and surgery was shorter in PR group, (1.3 vs. 3.1 hours). Stab wounds were more frequent in PR group (9:2), and iatrogenic lesions in RS group (6:2). Associated injuries were similar, as well as segmental distribution of colon injuries. S/F criteria and Flint grading were similar.In RS group 15 primary repairs were successful, while in two cases relaparotomy and colostomy was performed due to anastomotic leakage. One patient died. In PR group, 25 primary repairs were successful, with 2 immediate and 3 postoperative (7-10 days) deaths, with no evidence of anastomotic leakage.

CONCLUSIONS

Results of this study justify more liberal use of primary repair in early management of colon injuries.

TRIAL REGISTRATION

Current Controlled Trials ISRCTN94682396.

摘要

背景

本研究旨在确定一期修复的作用，并探讨使用非选择性方法扩大一期修复结肠损伤适应证的可能性。

方法

分析了两组患者。回顾性（RS）组包括 30 例根据 Stone（S/F）和 Flint（Fl）标准接受一期修复或两期手术治疗的患者。该组中有 18 例接受了一期修复。前瞻性（PR）组包括 33 例将一期修复作为首选治疗方法的患者。该组中有 30 例患者进行了一期修复。

结果

两组患者在年龄、性别和创伤严重程度指标方面具有可比性。PR 组的手术时间更短（1.3 小时 vs. 3.1 小时）。PR 组中锐器伤更为常见（9 例 vs. 2 例），而 RS 组中医源性损伤更为常见（6 例 vs. 2 例）。合并伤相似，结肠损伤的节段分布也相似。S/F 标准和 Flint 分级相似。RS 组中有 15 例一期修复成功，2 例因吻合口漏而再次剖腹和结肠造口术。1 例死亡。PR 组中，25 例一期修复成功，2 例即刻死亡，3 例术后（7-10 天）死亡，无吻合口漏的证据。

结论

本研究结果证明，在早期处理结肠损伤时，更应广泛应用一期修复。

试验注册

当前对照试验 ISRCTN94682396。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44db/3014882/1c50af1eedc7/1471-230X-10-141-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44db/3014882/1c50af1eedc7/1471-230X-10-141-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44db/3014882/1c50af1eedc7/1471-230X-10-141-1.jpg

相似文献

1
Primary repair of colon injuries: clinical study of nonselective approach.结肠损伤的一期修复：非选择性方法的临床研究。
BMC Gastroenterol. 2010 Dec 2;10:141. doi: 10.1186/1471-230X-10-141.
2
[Penetrant injuries of colon--our experience].[结肠穿透伤——我们的经验]
Acta Chir Iugosl. 2010;57(2):65-9. doi: 10.2298/aci1002065l.
3
Indications for and outcome of primary repair compared with faecal diversion in the management of traumatic colon injury.创伤性结肠损伤中一期修复与粪便转流术治疗的适应证和结局比较。
Colorectal Dis. 2016 Aug;18(8):O283-91. doi: 10.1111/codi.13421.
4
Civilian colon trauma: factors that predict success by primary repair.平民结肠创伤：预测一期修复成功的因素。
Dis Colon Rectum. 1997 Jun;40(6):685-92. doi: 10.1007/BF02140898.
5
The influence of injury severity on complication rates after primary closure or colostomy for penetrating colon trauma.原发性缝合或结肠造口术治疗穿透性结肠创伤后，损伤严重程度对并发症发生率的影响。
Ann Surg. 1989 Apr;209(4):439-47. doi: 10.1097/00000658-198904000-00009.
6
Primary repair of colon injuries: a prospective randomized study.结肠损伤的一期修复：一项前瞻性随机研究。
J Trauma. 1995 Nov;39(5):895-901. doi: 10.1097/00005373-199511000-00013.
7
Further evaluation of colostomy in penetrating colon injury.穿透性结肠损伤中结肠造口术的进一步评估。
Am Surg. 2000 Apr;66(4):342-6; discussion 346-7.
8
Improving outcomes following penetrating colon wounds: application of a clinical pathway.改善穿透性结肠损伤后的治疗效果：临床路径的应用
Ann Surg. 2002 Jun;235(6):775-81. doi: 10.1097/00000658-200206000-00004.
9
Primary closure in colon trauma.结肠创伤的一期缝合
Cir Cir. 2009 Sep-Oct;77(5):359-64.
10
Definitive treatment of colon injuries: a prospective study.结肠损伤的确定性治疗：一项前瞻性研究。
Am Surg. 1993 Jan;59(1):43-9.

引用本文的文献

1
Performance of primary repair on colon injuries sustained from low-versus high-energy projectiles.低能量与高能量投射物所致结肠损伤的一期修复效果
J Forensic Leg Med. 2016 Apr;39:125-9. doi: 10.1016/j.jflm.2016.01.005. Epub 2016 Jan 19.
2
Laparoscopic direct suture of perforation after diagnostic colonoscopy.诊断性结肠镜检查后穿孔的腹腔镜直接缝合。
Int J Colorectal Dis. 2013 Nov;28(11):1505-9. doi: 10.1007/s00384-013-1734-5. Epub 2013 Jul 24.

本文引用的文献

1
New trends in the management of colonic trauma.结肠创伤管理的新趋势。
Injury. 2005 Sep;36(9):1011-5. doi: 10.1016/j.injury.2004.11.020.
2
Canadian Association of General Surgeons evidence based reviews in surgery. 12. Primary repair for penetrating colon injuries.加拿大普通外科医生协会外科学循证综述。12. 穿透性结肠损伤的一期修复
Can J Surg. 2005 Feb;48(1):63-5.
3
The conundrum of traumatic colon injury.创伤性结肠损伤的难题
Am J Surg. 2004 Dec;188(6):663-70. doi: 10.1016/j.amjsurg.2004.08.057.
4
Colon injuries: new perspectives.结肠损伤：新视角
Injury. 2004 Mar;35(3):217-22. doi: 10.1016/j.injury.2003.11.004.
5
Current management of colon trauma.结肠创伤的当前管理。
World J Surg. 2003 Jun;27(6):632-9. doi: 10.1007/s00268-003-6762-9. Epub 2003 May 2.
6
The morbidity of penetrating colon injury.结肠穿透伤的发病率。
Injury. 2003 Jan;34(1):41-6. doi: 10.1016/s0020-1383(02)00090-6.
7
Handsewn versus stapled anastomosis in penetrating colon injuries requiring resection: a multicenter study.在需要进行切除的穿透性结肠损伤中，手工缝合与吻合器吻合的比较：一项多中心研究。
J Trauma. 2002 Jan;52(1):117-21. doi: 10.1097/00005373-200201000-00020.
8
Evolving concepts in the management of colonic injury.结肠损伤管理的演变概念。
Injury. 2001 Jul;32(6):435-9. doi: 10.1016/s0020-1383(00)00237-0.
9
Penetrating colon injuries requiring resection: diversion or primary anastomosis? An AAST prospective multicenter study.需要切除的穿透性结肠损伤：转流术还是一期吻合术？美国创伤外科学会前瞻性多中心研究。
J Trauma. 2001 May;50(5):765-75. doi: 10.1097/00005373-200105000-00001.
10
Further evaluation of colostomy in penetrating colon injury.穿透性结肠损伤中结肠造口术的进一步评估。
Am Surg. 2000 Apr;66(4):342-6; discussion 346-7.