Gupta S, Gupta S K
Department of Surgery, Banaras Hindu University, Varanasi, India.
Ital J Gastroenterol. 1993 Aug-Sep;25(7):380-4.
The management of 22 patients with acute caecal volvulus is described along with a review of literature. The preoperative diagnosis of caecal volvulus was made in 60 percent of the cases based on clinical findings and plain abdominal roentgenograms. Eleven patients had signs of peritonitis either due to gangrene or perforation of the caecum. On laparotomy all patients had mobile caecum but precipitating factors were not evident in any patient. The authors recommend resection and primary end-to-end ileocolic anastomosis in the presence of gangrene or perforation of the caecum. In non-complicated cases of caecal volvulus, detorsion and caecopexy are preferable because of low mortality, morbidity and recurrence rates.
本文描述了22例急性盲肠扭转患者的治疗情况，并对相关文献进行了综述。根据临床表现和腹部平片，60%的病例术前诊断为盲肠扭转。11例患者因盲肠坏疽或穿孔出现腹膜炎体征。剖腹手术时，所有患者的盲肠均可活动，但未发现任何患者有促发因素。作者建议，在盲肠坏疽或穿孔的情况下，行切除术并一期回结肠端端吻合术。对于非复杂性盲肠扭转病例，由于死亡率、发病率和复发率较低，扭转复位术和盲肠固定术更为可取。
