摘要
探讨全结肠切除加回肠造口术治疗特发型巨结肠性便秘的疗效。回顾性分析2005年1月~2013年12月在笔者医院接受手术治疗的35例特发型巨结肠性便秘患者的临床资料,其中结肠次全切除加回肠-乙状结肠侧侧吻合/升结肠-直肠端端吻合术患者13例和全结肠切除加回肠造口术患者22例,观察对比两组患者术后并发症及随访资料。在术后并发症指标观察中,发现全结肠切除术组的术后腹腔内感染率和术后炎性肠梗阻发生率明显少于结肠次全切除术组,其差异有统计学意义(P<0.05)。在随访指标观察中,发现全结肠切除术组术后再手术干预率显著低于结肠次全切除术组,并全结肠切除术组无一例术后复发而再次手术的患者(P<0.05)。特发型巨结肠性便秘更加适合行全结肠切除加回肠造口术。
To explore the clinical efficacy of total colectomy plus ileostomy procedures for special type constipation associated with megacolon.Clinical data of 35 patients of special type constipation associated with megacolon undergoing surgery in our hospital from Jan.2005 to Dec.2013 were retrospectively analyzed.Of 35 patients who underwent surgery for special type constipation associated with megacolon,13 treated by subtotal colectomy plus ileum-sigmoid colon of side to side anatomosis or ascending colon-rectum of end to end anastomosis,and 22 treated by total colectomy plus ileostomy.The postoperative complications and follow-up data of two groups were observed and compared.The total colectomy group had a significantly reduced postoperative intra-abdominal infection and limited postoperative early inflammatory intestinal obstruction（P〈0.05）.Furthermore,total colectomy group had a significantly less postoperative reccurence or roperation,and the total colectomy group was no reccurence or reoperation in the process of the follow-up（P0.05）.Total colectomy plus ileostomy in good clinical efficacy for special type constipation associated with megacolon,and this procedure may be a better fit than others approach.
出处
《医学与哲学（B）》
2017年第1期36-37,40,共3页
Medicine & Philosophy(B)
基金
2016年辽宁省自然科学基金项目资助(201602037)
2015年大连大学博士启动基金项目资助(20151QL019)
关键词
巨结肠性便秘
全结肠切除术
临床疗效
constipation associated with megacolon
total colectomy
clinical efficacy
