【摘要】 目的 探讨成人小肠及乙状结肠扭转的发病原因、早期诊断及治疗方法。 方法 回顾分析了我院近年来收治的18例肠扭转病例，复习近年来的相关文献。 结果 4例保守治疗缓解，2例手术后死亡，12例手术后存活，其中2例术后复发，二次手术。 结论 胃肠道炎症引起的功能紊乱、腹腔内粘连、腹腔内脂肪的支撑作用缺失和蛲虫可能也是肠扭转的发病原因，取得最佳疗效的关键是早期正确诊断，对于因肠系膜过长引起的小肠扭转，复位后应将小肠系膜固定于后腹膜。

    关键词 肠扭转 发病原因 早期诊断 治疗方法

    Reason analysis and diagnostic and treatmental experience on volvulus of small intestine and sigmoid colon in adults

    Li Guosheng

    Department of General Surgery，Shandong Aluminum Corporation Hospital，Zibo255069.

    【Abstract】 Objective To investigate the pathogenic reasons，early diagnosis and treatment methods of intes-tine and sigmoid colon volvulus in adults.Methods 18cases of volvulus were reviewed and analyzed reading the books about this.Results 4patients recovered with conservative treatment.14patients were treated by operation，2died，and the other12survived，2of which recurred after the first operation and were treated by the second operation.Conclusion Dysfunction，adhesion and disappearance of erection of fat in abdominal cavity which were caused by gastrointestinal inflammation，and enterobius vermicularis ......