肛管直肠损伤32例诊治分析

Diagnosis and treatment of 32 cases with anorectal injury

关键词:  肛管直肠损伤  诊断  治疗

Key words:  anorectal injury (ARI)  diagnosis  treatment

摘要:

［目的］探讨肛管直肠损伤的诊断和治疗。［方法］ 回顾性分析近10年来大连大学附属新华医院收治的32例肛管直肠损伤患者的病历资料。 ［结果］本组非手术治疗2例，其余30例行手术治疗：单纯清创缝合及局部引流18例；粪便转流性结肠造口加修补及局部引流9例；结肠造口加局部引流2例；Hartmann术1例。30例治愈，病死率3.1%(1/32)。术后并发症发生率26.7%(8/30)。［结论］早期诊断，早期清创缝合、修补破损，有效引流及适当粪便转流是肛管直肠损伤处理的基本原则。

Abstract:

［Objective］To investigate the diagnosis and treatment of anorectal injuries(ARI).［Methods］Clincal of 32 cases with anorectal injuries in the recent 10 years analyzed retrospectively.［Results］Among the 32 underwent surgical treatment. Simple anorectal repair plus drainage and performed in 18 cases, and anorectal repair with drainage plus signoid colostomy in 9 cases, the colostomy for fecal diversion and drainage in 2 cases. 1 case underwent hartmanns operation. 30 of 32 cases were cured. The overall mortality was 3.1%(1/32) and morbidity of the complications was 26.7%(8/30).［Conclusions］The early diagnosis and early debridement, repairing perforation, effect suction and reversing the path way of stool are the basic principle for treatment of ARI.