Dolgikh R N, Leonov S V, Lazarev G V, Gilevskiĭ S G, Potekhin A V, Maniukhin A N
Voen Med Zh. 2013 May;334(5):27-32.
The authors show the development of colonoproctology in the Vishnevsky Central Military Clinical Hospital N 3. The authors chose and described diagnostic possibilities of the proctologic center: videoendoscopy, ultrasonic diagnosis, computing technologies, methods of anatomical verification. The authors gave a characteristic of patients and methods of treatment. Almost half of all patients are oncology patients. Over the last decade 6750 patients were treated in the proctologic center, 1484 of them suffered with primary bowel cancer. 56,7% of patients suffered with colon cancer, 43,3%--rectal cancer. Special attention is paid to the patients with combat trauma. During the military conflicts on the North Caucasus 659 servicemen were treated in the hospital, 72 of them--with gunshot wounds of the colon. The majority of patients had bullet wounds, 15%--mine-blast injuries. All patients were operated on during the early stages of evacuation. Depending on character and location of injury patients were operated on properly. 68% of 72 patients suffered colon injuries, 32%--rectal injuries. 6 patients died (8,3%). The authors came to conclusion that organization and results of diagnostic and treatment, scientific and educational activity show the successful functioning of integration production treatment of patients with colonic pathology. The further ways of development are designed.
作者展示了第3号维什涅夫斯基中央军事临床医院结肠直肠外科学的发展情况。作者选择并描述了直肠病学中心的诊断可能性：视频内镜检查、超声诊断、计算机技术、解剖验证方法。作者给出了患者的特征及治疗方法。几乎所有患者中有一半是肿瘤患者。在过去十年中，直肠病学中心共治疗了6750名患者，其中1484人患有原发性肠癌。56.7%的患者患有结肠癌，43.3%患有直肠癌。特别关注战斗创伤患者。在北高加索地区的军事冲突期间，医院共治疗了659名军人，其中72人患有结肠枪伤。大多数患者有枪伤，15%为地雷爆炸伤。所有患者均在撤离的早期阶段接受了手术。根据损伤的性质和部位，对患者进行了适当的手术。72名患者中有68%患有结肠损伤，32%患有直肠损伤。6名患者死亡（8.3%）。作者得出结论，诊断和治疗的组织与结果、科学和教育活动表明，对结肠疾病患者进行综合生产治疗的功能运作良好。并规划了进一步的发展方向。
