CAJ | 학술논문

目的：探讨23例创伤性结肠破裂的治疗体会。方法：选取2009年2月-2014年3月笔者所在医院收治的创伤性结肠破裂23例，均接受手术治疗，4例患者进行左半结肠的单纯缝合修补，5例患者进行右半结肠的单纯缝合修补，7例患者切除其损伤结肠并给予双管式造口术，7例患者切除其损伤结肠并给予吻合近端结肠造口术。结果：23例患者中，共有18例患者接受一期手术治疗，18例患者均治愈；在二期手术治疗中，其中有2例患者得到治愈，23例患者的总治愈率为87.0%；治疗前患者生存质量评分为(85.2±8.6)分，治疗后患者总得分为(91.2±9.2)分，治疗后患者得分显著高于治疗前，两组比较差异有统计学意义(t=2.285，P=0.027)。结论：选择一种正确的、合适的治疗方法，能够提高患者的治愈率，提高患者的生存质量。
목적：탐토23례창상성결장파렬적치료체회。방법：선취2009년2월-2014년3월필자소재의원수치적창상성결장파렬23례，균접수수술치료，4례환자진행좌반결장적단순봉합수보，5례환자진행우반결장적단순봉합수보，7례환자절제기손상결장병급여쌍관식조구술，7례환자절제기손상결장병급여문합근단결장조구술。결과：23례환자중，공유18례환자접수일기수술치료，18례환자균치유；재이기수술치료중，기중유2례환자득도치유，23례환자적총치유솔위87.0%；치료전환자생존질량평분위(85.2±8.6)분，치료후환자총득분위(91.2±9.2)분，치료후환자득분현저고우치료전，량조비교차이유통계학의의(t=2.285，P=0.027)。결론：선택일충정학적、합괄적치료방법，능구제고환자적치유솔，제고환자적생존질량。
Objective:To investigate treatment experience of 23 cases of traumatic colon rupture.Method:A total of 23 cases of traumatic rupture colon were treated in our hospital treated from February 2009 to March 2014. 23 cases were treated with operation,including 4 patients with left colonic simple suture repair,5 cases with right hemicolectomy simple suture repair,7 cases with injury colon excision and twin ostomy,and 7 patients with injury colon excision and anastomosis of the proximal colostomy.Result:In 23 patients,a total of 18 patients were accepted one stage operation treatment,and 18 patients were all cured. In the two stage operation treatment,2 patients were cured,and the total cure rate was 87.0%.Quality of life score of pre-treatment was (85.2±8.6),while quality of life score of post-treatment was (91.2±9.2),an and post-treatment of patients with scores higher than that before treatment(t=2.285,P=0.027). Conclusion:Choosing a correct,appropriate treatment,can improve the cure rate of patients,and improve the quality of life of patients.