Objective：To explore the diagnosis and optimal surgical treatment of traumatic colon injury.
Methods：The clinical data of 33 patients admitted with traumatic colon injuries from May 2000 to December 2010 were retrospectively studied.
Results：Of the patients, 7 cases were diagnosed before surgery and 26 cases were diagnosed during surgery. The 32 patients who underwent modified colostomy achieved primary wound healing and the tube was removed 3 months later. Among them, 1 patient with several colonic ruptures underwent conventional colostomy and had a second operation 3 months later to close the colostomy. All cases were cured and no severe complications occurred.
Conclusions：The modified colostomy is safe and reliable for treatment of the majority of colon injuries, and its application is worth promoting.