摘要
目的分析总结结肠慢传输型便秘手术方式的选择。方法对结肠慢传输型便秘外科治疗患者术前检查、诊断、手术方式和治疗效果等临床资料进行回顾性分析。结果顽固性便秘患者经电子结肠镜、结肠传输试验和排粪造影等检查确诊结肠慢传输型便秘47例，行全结肠切除回肠直肠吻合术9例，次全结肠切除盲肠直肠吻合术28例，结肠旷置术10例；合并出口梗阻37例，同时行直肠黏膜切除硬化剂注射15例、直肠前突修补术7例、盆底抬高盆底疝修补加直肠悬吊术10例、子宫悬吊术3例、扩肛治疗2例。术后发生粘连性肠梗阻1例，无其它手术并发症。术后6个月。达到排便1～3次／d。结论术前仔细检查，制定个体化的手术方案，结肠慢传输型便秘外科治疗效果满意。
Objective To evaluate the choice of the surgical methods for patients with slow transit constipation（STC）. Methods The clinical data of tests before operation, diagnosis, surgical methods and treatment effect of patients with STC were reviewed retrospectively. Results Forty seven refractory constipation patients were diagnosed STC through electronic colonoscopy, colon transit test defecography and so on. The total colectomy with ileorectal anastomosis （nine cases）were performed. Twenty eight were treated with subtotal colectomy with cecorectal anastomosis, ten with colonic exclusion; Thirty seven STC cases were combined with outlet obstruction constipation （OOC） and the patients were treated with rectal mucous resection and stiffen agent injection forl5, rectocele repair for 7, pelvifixation, pelvic floor hemia repair and rectal suspension for 10 ,Uterine suspension for 3, enlarge anus treatment for 2 at the same time when the STC surgery were performed. Adhesion intestine obstruction was companied after operation in one patient, and no other severe complications occurred. The average stool frequencies was 1- 3 times per day six months after operation. Conclusion It is vital to evaluate carefully before operation and to make individual operation program, and the curative effect of surgery treatment of STC is satisfactory.
出处
《浙江临床医学》
2012年第6期675-677,共3页
Zhejiang Clinical Medical Journal
关键词
结肠慢传输型便秘
出口梗阻
手术方式
Slow transit constipation Outlet obstruction Surgical methods
