Neil D A, Reasebeck P G, Reasbeck J C, Effeney D J
Department of Surgery, Princess Alexandra Hospital, Brisbane, Australia.
Ann R Coll Surg Engl. 1987 Nov;69(6):283-5.
Sixteen cases of caecal volvulus were treated surgically at a major Australian teaching hospital over a decade. Review of these cases suggests that this condition may be more common in fit people between 30 and 40 years of age than in the elderly or institutionalised. Caecal volvulus was more common in women than in men, possibly because adhesions from previous gynaecological surgery may initiate volvulus. In some other cases colonic distension due to poor muscle tone rather than distal obstruction may have been an important predisposing factor. Preoperative diagnosis was not usually made, but might have been facilitated if knowledge of the above predisposing factors had been available. This would allow colonoscopic reduction to be considered as a therapeutic alternative to laparotomy. At laparotomy, right hemicolectomy or caecal fixation (caecostomy or caecopexy) were the alternative methods of treatment.
在过去十年间，澳大利亚一家大型教学医院对16例盲肠扭转患者进行了手术治疗。对这些病例的回顾表明，这种疾病在30至40岁的健康人群中可能比在老年人或机构化人群中更为常见。盲肠扭转在女性中比男性更常见，可能是因为既往妇科手术引起的粘连可能引发扭转。在其他一些病例中，由于肌张力差而非远端梗阻导致的结肠扩张可能是一个重要的诱发因素。术前通常无法做出诊断，但如果了解上述诱发因素，诊断可能会更容易。这将使结肠镜复位术被视为剖腹手术的一种治疗替代方案。在剖腹手术中，右半结肠切除术或盲肠固定术（盲肠造口术或盲肠固定术）是可供选择的治疗方法。
