CAJ | 학술논문

目的探讨高龄乙状结肠扭转患者的急诊治疗策略.方法回顾性分析上海长海医院急诊收治的14例高龄乙状结肠扭转患者的临床资料.结果 14例患者年龄70～93(79.1±7.2)岁,其中男性11例,女性3例.所有患者均急诊行肠镜下减压复位术,均成功复位,无一例急诊行手术治疗,首次急诊复位后4例患者复发,复发率为28.6％,再次接受肠镜下减压复位均获成功.结论肠镜下减压复位是无明显腹膜炎体征高龄乙状结肠扭转患者的急诊首选治疗方法,其安全、有效并可多次进行.
목적 탐토고령을상결장뉴전환자적급진치료책략.방법 회고성분석상해장해의원급진수치적14례고령을상결장뉴전환자적림상자료.결과 14례환자년령70～93(79.1±7.2)세,기중남성11례,녀성3례.소유환자균급진행장경하감압복위술,균성공복위,무일례급진행수술치료,수차급진복위후4례환자복발,복발솔위28.6％,재차접수장경하감압복위균획성공.결론 장경하감압복위시무명현복막염체정고령을상결장뉴전환자적급진수선치료방법,기안전、유효병가다차진행.
Objective To investigate the emergency therapeutic strategy for sigmoid vovulus in the elderly.Methods Clinical data of 14 elderly patients with sigmoid vovulus were analyzed retrospectively.Results The mean age was(79.1±7.2) years(range,70-93),and 11 patients (78.6％)were male.Emergency decompression and restoration with colonoscopy was performed in all the patients with a success rate of 100％.No patient required emergent surgery.Four patients (28.6％) recurred and they were managed well by repeat colonoscopic restoration.Conclusion Emergency colonoscopic restoration is the first treatment of choice for sigmoid vovulus in the elderly because it is safe and effective,and can be performed repeatedly.