一系列病例描述了结肠穿孔的频谱:来自印度中部一个三级护理中心的回顾性研究
Anjani Goli1, Krishnanand Anand1, Abhimanyu Yadav1
1Department of General Surgery, LN Medical College and Research Center, Bhopal, IND.
Cureus
|October 27, 2025
概括
这项关于结肠穿孔的研究强调,早期识别和量身定制的手术是获得更好的结果的关键. 通过成像指导的迅速手术干预对于有效管理这种危及生命的疾病至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术紧急情况 手术紧急情况
- 结肠直肠手术 结肠直肠手术
背景情况:
- 结肠穿孔是一种罕见的,危及生命的手术紧急情况,原因和表现各异.
- 高等医疗保健中心管理各种结肠穿孔病例,需要有效的诊断和治疗方案.
研究的目的:
- 分析患者的人口统计学,临床特征,诊断结果,穿孔部位,病因和结肠穿孔的管理策略.
- 强调早期识别和量身定制的外科干预的重要性,以优化结肠穿孔的结果.
主要方法:
- 对15名确诊结肠穿孔的成年患者进行了回顾性观察性研究.
- 收集的数据包括人口统计,临床表现,诊断工作 (成像,结肠镜检查),穿孔特征,手术管理和结果.
- 使用描述性统计数据来总结模式和结果.
主要成果:
- 女性占主导地位 (60%),大多数患者年龄在60岁以上.
- 横结肠 (53.3%) 和西格结肠 (20%) 是最常见的穿孔.
- 常见的病因包括阳性,结肠镜相关,传染性和炎症性原因. 所有患者都接受了手术.
结论:
- 早期识别和针对患者的手术管理对于结肠穿孔的良好结果至关重要.
- 横向和西格体结肠穿孔是常见的,与解剖风险和手术有关.
- 多学科,量身定制的方法提高了在高容量中心的生存率,特别是在资源有限的环境中.
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