直肠损伤时造口术是否仍属必要？
Is ostomy still mandatory in rectal injuries?
作者信息
Ulger Burak Veli, Turkoglu Ahmet, Oguz Abdullah, Uslukaya Omer, Aliosmanoglu Ibrahim, Gul Mesut
机构信息
Department of General Surgery, Faculty of Medicine, Dicle University, Diyarbakir, Turkey.
出版信息
Int Surg. 2013 Oct-Dec;98(4):300-3. doi: 10.9738/INTSURG-D-12-00007.1.
The aim of this study was to compare the outcomes of the treatment methods of ostomy and primary repair in rectal injuries. A total of 63 patients with rectal injury who had been treated at Dicle University Hospital between 2000 and 2011 were retrospectively reviewed. To determine the outcomes of the treatment methods, the patients were divided into 2 groups (ostomy group: patients who underwent ostomy plus primary repair; repair group: patients who only underwent primary repair) and compared. The patients included 51 men and 12 women. A total of 44 patients underwent ostomy, whereas 19 patients underwent primary repair. No morbidity was detected in either group with grade II intraperitoneal rectal injury. The outcomes of the patients with grade II intraperitoneal and extraperitoneal rectal injury were similar. In the treatment of patients with low-grade rectal injuries, primary repair can be preferred to ostomy.
本研究的目的是比较直肠损伤中造口术和一期修复这两种治疗方法的效果。回顾性分析了2000年至2011年期间在迪克莱大学医院接受治疗的63例直肠损伤患者。为了确定治疗方法的效果，将患者分为两组（造口术组：接受造口术加一期修复的患者；修复组：仅接受一期修复的患者）并进行比较。患者包括51名男性和12名女性。共有44例患者接受了造口术，而19例患者接受了一期修复。II级腹膜内直肠损伤的两组均未检测到并发症。II级腹膜内和腹膜外直肠损伤患者的治疗效果相似。在治疗轻度直肠损伤患者时，一期修复可优先于造口术。
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