Tejler G, Jiborn H
Department of Surgery, Malmö General Hospital, University of Lund, Malmö, Sweden.
Dis Colon Rectum. 1988 Jun;31(6):445-9. doi: 10.1007/BF02552614.
The management of cecal volvulus is controversial. From 1971 to 1986, 26 patients with cecal volvulus were treated at Malmö General Hospital. Treatment and patient follow-up are presented, together with a review of 350 patients reported in the literature during the past 15 years. Anatomic background and types of volvulus are described. Simple detorsion is an alternative in high-risk patients without gangrene, but resection is the method of choice also when there is no gangrene present.
盲肠扭转的治疗存在争议。1971年至1986年期间，马尔默综合医院共治疗了26例盲肠扭转患者。本文介绍了治疗方法及患者随访情况，并对过去15年文献报道的350例患者进行了综述。文中描述了解剖学背景及扭转类型。对于无坏疽的高危患者，单纯扭转复位是一种选择，但在不存在坏疽的情况下，切除术也是首选方法。
