12例结肠粪性溃疡穿孔诊治分析

doi:10.3969/j.issn.1000-8535.2016.04.007

广州医药 ›› 2016, Vol. 47 ›› Issue (4): 25-27.DOI: 10.3969/j.issn.1000-8535.2016.04.007

12例结肠粪性溃疡穿孔诊治分析

刘峰, 杨伟金, 田野, 孙政

广州市第一人民医院胃肠外科 (广州 510180)

收稿日期:2016-03-16 出版日期:2016-07-20 发布日期:2021-12-02
通讯作者: 孙政,E-mail:heilsun99@163.com
基金资助:
广州市医药卫生科技项目(20141A010002)

Clinical analysis of stercoral perforation of colon in twelve patients

Liu Feng, Yang Weijin, Tian Ye, et al

Department of Gastrointestinal Surgery, Guangzhou First People's Hospital, Guangzhou 510180, China

Received:2016-03-16 Online:2016-07-20 Published:2021-12-02

摘要/Abstract

摘要： 目的探讨结肠粪性穿孔的发病原因、临床特点、诊断和治疗方法。方法回顾性分析广州市第一人民医院2012年1月—2015年1月收治的12例结肠粪性穿孔病人的临床资料。结果本组病人共12例,均因腹膜炎体征行剖腹或腹腔镜探查术,术中根据Maurer标准诊断为结肠粪性溃疡穿孔。本组病人术后治愈出院10例,治愈率为83.3%,2例80岁以上病人因感染中毒性休克、多器官功能衰竭分别于术后第2天及第3天在重症监护病房死亡,死亡率为16.7%,术后主要合并症为肺炎(10例,83.3%)及胸腔积液(12例,100%)。结论在临床工作中,了解结肠粪性穿孔发生的危险因素,及时进行有针对性的辅助检查,快速手术干预是降低病死率的关键。

关键词: 结肠粪性穿孔, 诊断, 治疗

Abstract: Objective To explore the causes, clinical characteristics, diagnosis and treatment of stercoral perforation of colon. Methods The clinical data of 12 cases of stercoral perforation of colon from Jan 2012 to Jan 2015 were retrospectively analyzed. Results There were twelve patients who were diagnosed stercoral perforation of colon according to accurate diagnostic criteria during the open or laparoscopic operation. Of the 12 cases, 10 cases (83.3%) were cured, 2 cases (16.7%) died because of septic shock and multiple organ failure in the intensive care unit. After operation 10 cases (83.3%) had pulmonary infection and 12 cases (100%) had pleural effusion. Conclusion The key of improve the prognosis of stercoral perforation of colon depends on the full understanding of risk factors, proper preoperative examination and prompt surgical procedures.

Key words: Stercoral perforation of colon, Diagnosis, Treatment

刘峰, 杨伟金, 田野, 孙政. 12例结肠粪性溃疡穿孔诊治分析[J]. 广州医药, 2016, 47(4): 25-27.

Liu Feng, Yang Weijin, Tian Ye, et al. Clinical analysis of stercoral perforation of colon in twelve patients[J]. Guangzhou Medical Journal, 2016, 47(4): 25-27.

参考文献

[1] KIM YW, KWON HJ, KIM IY. Stercoral perforation of the colon in sigmoid colostomy patients: Two case reports[J]. Int J Surg Case Rep,2013,4(11):1038-1040.
[2] HUANG WS, WANG CS, HSIEH CC, et al. Management of patients with stercoral perforation of the sigmoid colon: report of five cases[J]. World J Gastroenterol,2006,12(3):500-503.
[3] MAURER CA, RENZULLI P, MAZZUCCHELLI L, et al. Use of accurate diagnostic criteria may increase incidence of stercoral perforation of the colon[J]. Dis Colon Rectum,2000,43(7):991-998.
[4] BUNKAR SK, SINGH A, SINGH RP. Stercoral perforation of the sigmoid colon in a schizophrenic patient[J]. J Clin Diagn Res,2015,9(1):D7-D8.
[5] AGUILERA JF, LUGO RE, LUNA AW. Stercoral perforation of the colon: case report and literature review[J]. Medwave,2015,15(2):e6108.
[6] SERPELL JW, NICHOLLS RJ. Stercoral perforation of the colon[J]. Br J Surg,1990,77(12):1325-1329.
[7] FALIDAS E, MATHIOULAKIS S, VLACHOS K, et al. Stercoral perforation of the sigmoid colon. A case report and brief review of the literature[J]. G Chir,2011,32(8-9):368-371.
[8] 杨建光,李晓霞,李宏武,等. 老年患者特发性结肠穿孔临床分析(附28 例报道)[Z]. 中国普外基础与临床杂志,2011,18,999-1000.
[9] PATEL VG, KALAKUNTLA V, FORTSON JK, et al. Stercoral perforation of the sigmoid colon: report of a rare case and its possible association with nonsteroidal anti-inflammatory drugs[J]. Am Surg,2002,68(1):62-64.
[10] HADDAD R, BURSLE G, PIPER B. Stercoral perforation of the sigmoid colon[J]. ANZ J Surg,2005,75(4):244-246.
[11] YANO T, WAKABAYASHI H, YACHIDA S, et al. A stercoral perforation of the colon with an obvious faecal mass diagnosed by computed tomography[J]. ANZ J Surg,2008,78(3):214-215.
[12] KUMAR P, PEARCE O, HIGGINSON A. Imaging manifestations of faecal impaction and stercoral perforation[J]. Clin Radiol,2011,66(1):83-88.
[13] CHAKRAVARTTY S, CHANG A, NUNOO-MENSAH J. A systematic review of stercoral perforation[J]. Colorectal Dis,2013,15(8):930-935.
[14] KWAG S J, CHOI S K, PARK J H, et al. A stercoral perforation of the rectum[J]. Ann Coloproctol,2013,29(2):77-79.

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12例结肠粪性溃疡穿孔诊治分析

Clinical analysis of stercoral perforation of colon in twelve patients

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