[直肠异物的治疗]
[Treatment of rectal foreign bodies].
作者信息
Khubezov D A, Trushin S N, Puchkov K V, Puchkov D K, Ogorel'tsev A Yu
机构信息
Pavlov Ryazan State Medical University, Health Ministry of the Russian Federation ,Regional Clinical Hospital, Ryazan, Russia.
出版信息
Khirurgiia (Mosk). 2016(9):57-63. doi: 10.17116/hirurgia2016957-63.
AIM
to present the results of treatment of rectal foreign bodies.
MATERIAL AND METHODS
15-year outcomes of 112 patients with rectal foreign bodies were analyzed.
RESULTS
Outpatient and hospital care were applied in 52 (46%) and 60 (54%) of cases respectively. Transanal removal was made in 97 (87%) patients including 28 (25%) cases of general anaesthesia. 14 (13%) patients underwent surgery. Colostomy was performed in 7 (6%) cases. We presented cases of foreign bodies removal through laparotomy, colotomy and SILS-assisted transanal approach.
DISCUSSION
From clinical point of view foreign bodies should be first of all classified by their dimensions. Anamnesis and physical examination are very important. Abdominal X-ray survey is obligatory. Transanal removal under general anaesthesia is advisable if perforation is absent. If such procedure is impossible laparotomy is indicated.
CONCLUSION
Algorithm of survey and treatment is presented.
目的
介绍直肠异物的治疗结果。
材料与方法
分析112例直肠异物患者的15年治疗结果。
结果
分别有52例（46%）和60例（54%）患者接受了门诊治疗和住院治疗。97例（87%）患者经肛门取出异物，其中28例（25%）在全身麻醉下进行。14例（13%）患者接受了手术治疗。7例（6%）患者进行了结肠造口术。我们展示了通过剖腹手术、结肠切开术和单孔腹腔镜辅助经肛门途径取出异物的病例。
讨论
从临床角度来看，异物首先应根据其尺寸进行分类。病史和体格检查非常重要。腹部X线检查是必需的。如果没有穿孔，建议在全身麻醉下经肛门取出异物。如果无法进行该操作，则需进行剖腹手术。
结论
提出了检查和治疗方案。
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