Patel S C, Stone R M
Can J Surg. 1977 Jan;20(1):36-8.
In order to assess the results of emergency colectomy for toxic megacolon in ulcerative colitis, the records of 40 patients treated over a 16-year period were reviewed. The diagnosis of toxic;colon was confirmed by a combination of clinical, radiologic, operative and pathologic examinations. Steroids were part of the treatment before operation in 36 patients. The surgical procedures included subtotal celectomy in 37 patients and total proctocolectomy in 3. Fecal spillage was recognized in 10 procedures. Two patients died postoperatively, but in neither had fecal contamination been observed. The findings of this review support the use of colectomy as the surgical treatment for toxic megacolon.
为评估溃疡性结肠炎中毒性巨结肠急诊结肠切除术的效果，回顾了16年间接受治疗的40例患者的记录。中毒性结肠的诊断通过临床、放射学、手术及病理学检查综合确定。36例患者术前治疗使用了类固醇。手术方式包括37例行次全结肠切除术，3例行全直肠结肠切除术。10例手术出现粪便外溢。2例患者术后死亡，但均未观察到粪便污染。本回顾结果支持将结肠切除术作为中毒性巨结肠的手术治疗方法。
