(穿孔乙状结肠炎。805例经验。多中心研究]。

M González González, F Lamata Hernández, A Jiménez Bernadó, M Martínez Díez, A García Gil
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引用次数: 0

摘要

这是一项涉及40项服务的多中心研究。每位患者都要填写一张包含90个问题的卡片。与此同时,我们发送了一张个人调查卡,上面有11个标准问题。我们的病例对应805例患者,其中男性457例,女性348例。最高频率在50-80年之间。最常用的治疗方法为引流加Hartmann,占37.1%;引流+结肠造口,24.9%;不造口切除吻合12.45%,有造口切除吻合5.11%;引流加外置,5.98%,保守,4.6%。我们根据不同的解剖临床组和使用的技术来研究病死率的相关性。结果在死亡率方面无统计学意义,而在内脏取出、肠外翻、弥漫性腹膜炎、上消化道出血、吻合口裂开和吻合方式(手工或器械)方面有统计学意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Perforated sigmoiditis. Experiences with 805 cases. A multicenter study].

This was a multicenter study corresponding to 40 services. For each patient, a card containing 90 questions was filled out. At the same time we sent a personal survey card with 11 criteria questions. Our cases corresponded to 805 patients, 457 males and 348 females. The highest frequency was between 50-80 years. The therapeutic methods most often used were: drainage plus Hartmann, 37.1%; drainage plus colostomy, 24.9%; resection and anastomosis without colostomy, 12.45%, and with colostomy, 5.11%; drainage plus exteriorization, 5.98%, and conservative, 4.6%. We studied the morbimortality correlation according to different anatomoclinical groups and techniques used. The results were nonsignificant for mortality and statistically significant for evisceration, eventration, diffuse peritonitis, upper gastrointestinal bleeding, anastomotic dehiscence and type of anastomosis, manual or instrumental.

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