Clinical analysis of primary stage operation for traumatic rupture of colon

GAO Hong-qiang; LI Gang; LIU Wen-yong

doi:10.3969/j.issn.1009-4237.2016.07.010

Abstract：Objective To analyze the clinical effect of primary stage operation in treating traumatic rupture of colon.Methods Totally 97 cases of traumatic rupture of colon who were treated in our hospital from Feb .2010 to Feb.2015 were selected.There were 62 males and 35 females,with age ranging from 25-75(average,39.21 ± 4.63) years.The clinical effect of primary stage surgical treatment was analyzed .Results All surgeries for the 97 cases were successfully completed ,including 74 cases of repair and 23 cases of resection and anastomosis .Eighty-six patients received primary stage surgical treatment ,83 of whom recovered completely and 3 died,with the cure rate of 96.51%.Eleven patients had postoperative complications ( including 5 cases of intestinal fistula ,4 cases of ab-dominal abscess and 2 cases of intestinal obstruction ),with the complication rate of 12.79%.Eleven patients re-ceived secondary stage operation ,6 of whom recovered and were discharged and 5 died,5 developed postoperative complications ( including 2 cases of intestinal fistula ,2 cases of abdominal abscess and 1 case of intestinal obstruc-tion) .The cure rate of primary stage operation was significantly higher than that of the secondary stage operation , moreover ,the postoperative morbidity and mortality of primary stage operation was significantly lower than that of the secondary stage operation , and the differences were statistically significant ( P<0.05 ) .Conclusion The primary stage operation for traumatic rupture of colon has a significant effect ,but it is necessary to have a detailed under-standing about traumatic levels and physical condition for selecting the appropriate operation method to avoid postop -erative complications .