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乙状结肠扭转57例的诊断及治疗

Weikun YE,Peiqiang ZENG,Guangyou CAI

APPLIED JOURNAL OF GENERAL PRACTICE（2005）

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Abstract
目的探讨乙状结肠扭转的诊治经验.方法对57例乙状结肠扭转患者的临床表现及治疗方法进行回顾性分析.结果 32例行腹部X线平片检查,其中28例明确诊断,19例系钡灌肠检查显示"鸟嘴征"而作出诊断,7例通过结肠镜检查获得诊断,3例经剖腹探查证实本病;4例误诊或漏诊.非手术疗法9例,7例成功,50例行手术治疗.治愈53例,死亡4例,复发2例.结论老年腹痛、腹胀和便秘应考虑本病的可能.X线为首选检查.对于无肠坏死及腹膜炎的患者,行结肠镜检查有明显优点,有肠坏死及腹膜炎的患者应及时手术治疗,Ⅰ期肠切除吻合术宜慎用.
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