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目的 :探讨直肠肛管会阴部创伤的治疗效果与救治要点。方法 :回顾性分析 5 1例直肠肛管会阴部创伤患者的临床资料。采用转流性结肠单腔造口 ,早期彻底清创 ,置引流 ,全肠灌洗共 42例。对合并盆腔大出血及骨盆骨折患者 9例 ,在治疗休克同时 ,行早期开腹手术 ,髂内动脉结扎 ,游离肌块电凝压迫止血 ,填塞止血 ,并行骨折固定 8例。结果 :本组治愈 47例 (92 .2 % ) ,死亡 4例 (7.8% )。结论 :早期确诊并采取及时而有效的治疗是提高创伤性直肠肛管会阴部损伤疗效的关键。
Objective: To investigate the treatment effect and treatment points of perianal perineal perineal trauma. Methods: A retrospective analysis of 51 cases of rectal perianal perineal trauma in patients with clinical data. Translucent colostomy with a single stoma, early debridement, drainage, total bowel irrigation a total of 42 cases. In 9 patients with pelvic hemorrhage and pelvic fracture complicated with pelvic hemorrhage and pelvic fracture, while in the treatment of shock, the line of early open surgery, internal iliac artery ligation, free muscle block coagulation to stop bleeding, fill stop bleeding, parallel fracture fixation in 8 cases. Results: In this group, 47 cases were cured (92.2%) and 4 died (7.8%). Conclusion: Early diagnosis and timely and effective treatment are the key to improve the curative effect of traumatic rectal perineal perineal injury.