哈特曼手术再探讨。
HARTMANN'S PROCEDURE REVISITED.
作者信息
Choubey R P, Patnaik P K, Sharma A K, Kapoor S
机构信息
Classified Specialist Surgery & Gastrointestinal Surgery, Command Hospital, (Central Command) Lucknow.
Classified Specialist Surgery and Gastrointestinal Surgery, Army Hospital (Research and Referral) Delhi Cantt.
出版信息
Med J Armed Forces India. 2001 Jan;57(1):39-41. doi: 10.1016/S0377-1237(01)80088-5. Epub 2011 Jul 21.
Between July 1991 and June 1999 out of 176 patients undergoing colonic surgery (elective and emergency), Hartmann's procedure was performed in 63. There were 39 males and 24 females. Mean age was 43 years (range 12 to 81). To assess the utility of Hartmann's procedure the documents of all these 63 patients were retrospectively analysed. In 47 bowel continuity was reestablished. The over all mortality in first stage operation (Hartmann's procedure) was 12.7% and mortality in the second stage procedure (reestablishing bowel continuity) was nil. Complication rate was drastically less in second operation. The authors conclude that Hartmann's procedure is safe and effective while dealing with colorectal pathologies as resection and primary anastomosis is fraught with danger.
1991年7月至1999年6月期间，在176例行结肠手术（择期和急诊）的患者中，63例行哈特曼手术。其中男性39例，女性24例。平均年龄43岁（范围12至81岁）。为评估哈特曼手术的效用，对这63例患者的资料进行了回顾性分析。47例恢复了肠道连续性。一期手术（哈特曼手术）的总体死亡率为12.7%，二期手术（恢复肠道连续性）的死亡率为零。二期手术的并发症发生率明显较低。作者得出结论，在处理结直肠病变时，哈特曼手术是安全有效的，因为切除并一期吻合充满风险。
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