Eggleston F C, Santoshi B
Br J Surg. 1981 May;68(5):341-2. doi: 10.1002/bjs.1800680517.
Over a 17-year period 93 patients have been treated for typhoid perforation of the bowel. Forty-three of these have been treated by closure of the perforation, and 42 by end-to-side ileotransverse colostomy. These two groups are compared. Although there was no difference in mortality, postoperative morbidity in survivors was less in those having an end-to-side ileotransverse colostomy. End-to-side ileotransverse colostomy is a logical operation based upon the pathological changes in the bowel produced by typhoid fever and is the operation of choice.
在17年的时间里,有93例患者接受了肠伤寒穿孔的治疗。其中43例采用穿孔闭合术治疗,42例采用回肠-横结肠端侧吻合术治疗。对这两组进行了比较。虽然死亡率没有差异,但接受回肠-横结肠端侧吻合术的幸存者术后发病率较低。回肠-横结肠端侧吻合术是基于伤寒热引起的肠道病理变化而进行的合理手术,是首选的手术方式。