复发性结肠孔隙在老年患者的西格结肠静脉修复:两个病例报告
Hyeonkyeong Kim1, Kwang Ho Kim1, Gyoung Tae Noh1
1Department of Surgery, Ewha Womans University College of Medicine, Seoul, Korea.
Ewha medical journal
|July 24, 2025
概括
结肠切口术后的复发性结肠穿孔是罕见的. 外科医生应解决慢性便秘问题,并考虑在老年患者中为缺血性穿孔进行横向结肠静脉修复.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 老年医学 老年医学
背景情况:
- 结肠切口术后的复发性结肠穿孔是一种非常罕见的临床事件.
- 只有很少有记录的案例存在,这凸显了进一步了解和管理策略的需要.
研究的目的:
- 在老年患者中报告了两例重复性结肠穿孔的不同病例,这些老年患者已经进行了结肠切除.
- 探索潜在的原因,包括管穿孔和结肠缺血.
- 提供基于临床经验的外科建议.
主要方法:
- 病例报告分析了两名老年患者的病例报告,他们出现了靠近结肠直肠切口的复发性结肠穿孔.
- 对患者病史的审查,重点关注慢性便秘和暗示结肠缺血的情节等原因.
主要成果:
- 案例1:穿孔归因于慢性便秘的继发性角穿孔.
- 案例2:穿孔与复发性结肠缺血有关.
- 这两位患者都是老年人,这突显了与年龄相关的危险因素.
结论:
- 慢性便秘的管理至关重要,即使在患有结肠直肠术的患者中也是如此.
- 横向结肠静脉切除可能是一个可行的手术选择,用于在患有西格结肠静脉切除的患者中管理复发性结肠缺血相关的穿孔.
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