由摄入可拆卸假牙引起的西格结肠穿孔:一个病例报告和文献综述
Junyan Fang1, Chen Xu2, Yuzhen Wen2
1Department of Stomatology, The Ninth People's Hospital of Zibo and People's Hospital of Huantai County, Zibo, P.R. China.
Medicine
|February 3, 2026
概括
摄入可拆卸假牙可能会导致危及生命的西格结肠穿孔,特别是在老年人中. 迅速的手术干预,如哈特曼手术,对于管理这种罕见的紧急情况至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术紧急情况 手术紧急情况
- 老年医学 老年医学
背景情况:
- 摄入可拆卸假牙导致胃肠道穿孔是一个罕见的,危及生命的紧急情况.
- 老年患者的风险更高,原因是口腔感觉减弱和吞反射.
研究的目的:
- 报告一个患有西格结肠缩和吞假牙的二次穿孔的患者的管理情况.
- 突出早期识别和个性化治疗摄入外体的重要性.
主要方法:
- 一名76岁的女性在摄入假牙后出现腹痛和恶心.
- 腹部CT证实了异体在西格体结肠,穿孔和肺.
- 紧急哈特曼手术进行了结肠直肠切除,随后进行了腹腔镜辅助的静脉直肠切除.
主要成果:
- 经过手术治疗后,患者在无事故的情况下恢复过来.
- 哈特曼手术在需要紧急治疗的结肠穿孔治疗中被证明是有效和安全的.
- laparoscopic-assisted stoma逆转成功地恢复了肠道连续性. 这是一个非常成功的方法.
结论:
- 早期诊断和量身定制的治疗对于摄入假牙患者至关重要.
- 对于高危人群,建议重新考虑修复假牙或使用更安全的替代品.
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