Famà R, Di Natale I, Padoan L, Donadi M, Di Natale R
Ospedale Regionale di Treviso, IV Divisione Chirurgica, Regione Veneto.
Chir Ital. 1993 Feb-Dec;45(1-6):118-23.
Perforation of the colon carries a high mortality and morbidity. Perforations caused by foreign bodies are relatively rare and appear to be less often associated with postoperative complications than perforations due to organ disease. Depending upon the extent of the perforation and its anatomical site, as well as on the basis of the presence of diffuse or circumscribed peritonitis, the treatment of foreign-body perforation will vary from simple suturing, with or without a protective colostomy, to exteriorization in the form of a colostomy, and the Hartmann operation.
结肠穿孔具有较高的死亡率和发病率。异物导致的穿孔相对少见,且与术后并发症的关联似乎比器官疾病引起的穿孔更少。根据穿孔的程度及其解剖部位,以及基于弥漫性或局限性腹膜炎的存在情况,异物穿孔的治疗方法会有所不同,从单纯缝合(有或没有保护性结肠造口术)到结肠造口术形式的外置,以及哈特曼手术。