CAJ | 학술논문

目的：探讨分析乙状结肠扭转致肠梗阻的临床情况，分析治疗方法和效果。方法：收集2013年2月-2014年3月到我院实施诊治的乙状结肠扭转致肠梗阻患者临床资料，抽取78例作为本次研究对象，根据治疗方法的不同，分为三组，即A组（一期实施乙状结肠切除术、乙状结肠和直肠端端吻合术），B组（事先实施乙状结肠造瘘术，二期实施乙状结肠和直肠端端吻合术），C组（仅予以乙状结肠系膜固定），各组病例分别为26例，观察三组并发症发生情况。结果：78例患者均治愈，未出现死亡病例，其中有3例患者出现伤口感染，A组有1例，B组有2例；2例患者出现脂肪液化，均为C组，未发生严重肠瘘并发症。结论：乙状结肠扭转致肠梗阻临床指治疗中，基于患者病情采取个体化治疗，可行性强且安全。
목적：탐토분석을상결장뉴전치장경조적림상정황，분석치료방법화효과。방법：수집2013년2월-2014년3월도아원실시진치적을상결장뉴전치장경조환자림상자료，추취78례작위본차연구대상，근거치료방법적불동，분위삼조，즉A조（일기실시을상결장절제술、을상결장화직장단단문합술），B조（사선실시을상결장조루술，이기실시을상결장화직장단단문합술），C조（부여이을상결장계막고정），각조병례분별위26례，관찰삼조병발증발생정황。결과：78례환자균치유，미출현사망병례，기중유3례환자출현상구감염，A조유1례，B조유2례；2례환자출현지방액화，균위C조，미발생엄중장루병발증。결론：을상결장뉴전치장경조림상지치료중，기우환자병정채취개체화치료，가행성강차안전。
Objective:To investigate the clinical analysis of sigmoid volvulus induced intestinal obstruction, treatment methods and effect analysis. Methods:from 2013 February- 2014 year in March to our hospital for diagnosis and treatment of sigmoid colon torsion caused by clinical data of patients with intestinal obstruction, 78 cases were selected as the research object, according to the different treatment methods, divided into three groups, namely group A (sigmoid resection, the sigmoid colon and rectum anastomosis imple-mentation a), B group (prior to the implementation of the sigmoid colostomy, two phase of implementation of the sigmoid colon and the rectum anastomosis), group C (only to the sigmoid mesocolon fixed), all cases were 26 cases, observe three groups of complications. Results:78 cases were cured, and no deaths, of which 3 patients had wound infection, 1 cases in group A, there were 2 cases in group B;2 patients had the fat liquefaction were group C, no serious complications of intestinal fistula. Conclusion:volvulus of sigmoid colon ob-struction caused by clinical treatment, individualized treatment based on patient condition, strong feasibility and safety.