Höllerl G, Stenzl W, Stadler H
Z Gastroenterol. 1980 Jul;18(7):376-80.
Three cases of colonic perforation which we could observe in 622 own colonoscopies and two which have been referred to us for surgical repair, are reported. On behalf of these cases the cause of such a perforation as a complication of colonoscopy is pointed out. The symptoms of colonic perforation are not very impressive and somewhat incharacteristic. The treatment of choice is immediate laparotomy, whereby the decision whether simply suture of the defect or resection with or without colostomy remains to be made intraoperatively. In case of massive pneumoperitoneum the puncture of the lower abdomen can be made as an emergency operation.
本文报告了在我们自己进行的622例结肠镜检查中观察到的3例结肠穿孔病例，以及另外2例转诊至我院进行手术修复的病例。基于这些病例，指出了结肠镜检查并发症——结肠穿孔的病因。结肠穿孔的症状并不十分明显，且有些不典型。首选的治疗方法是立即进行剖腹手术，术中需决定是单纯缝合缺损处，还是进行有或无结肠造口术的切除术。在出现大量气腹的情况下，可作为紧急手术对下腹部进行穿刺。
