改良腹腔镜结肠次全切除术治疗顽固性慢运输型便秘  

Chronic obstipation treated with subtotal colectomy by meliorating laparoscope

作　　者：徐良[1] 谢明均[1] 郑涛[1] 马鸣[1] 袁泉[1] 

机构地区：[1]宜宾市第二人民医院肛肠科,四川宜宾644000

出　　处：《四川医学》2008年第5期543-545,共3页Sichuan Medical Journal

摘　　要：目的探讨腹腔镜结肠次全切除术治疗顽固性慢运输型便秘的可行性。方法将31例患顽固性慢运输型便秘需手术治疗的患者分成两组,一组行改良腹腔镜结肠次全切除术(A组),另一组施行开腹结肠次全切除术(B组),比较两组的手术时间、手术切口长度、手术中出血量、手术后疼痛、肠道功能恢复时间、治疗效果、切口愈合。结果两组手术时间、治疗效果差异无统计学意义(P>0.05);术中出血量A组较B组少、切口长度A组较B组短、镇痛药用药次数A组较B组少、肠道恢复时间A组较B组短、切口一期愈合率A组>B组(P<0.05)。结论改良腹腔镜结肠次全切除术治疗顽固性慢运输型便秘优于传统开腹结肠次全切除术,是一种值得推广应用的术式。Objective to investigate the new method of theraping of chronic obstipation with subtotal colectomy by laparoscope. Methods The clinical data of cases of chronic obstipation were randomly divided into 2 groups ： group A were treated with subtotal colectomy by laparoscope, group B were treated with subtotal colectomy by operation, Capering the operation tiale, the length of operation nick, the amount of bleeding in operation, pain after operation, coincidnece time of the function of intestinal tract, curative effect, expense between group A and B. Results there were no difference of the operation time, curative effect and expense between two groups （ P 〉 0.05 ）, but the length of operation nick, the amount of bleeding in operation, pain after operation, coincidnece time of the function of intestinal tract, group A is better than group B （ P 〈 0.05 ）. Conclusion the new method of theraping of chronicial obstipation with subtotal colectomy by laparoscope was better than that by convential operation. It was worth to generalized.

关 键 词：腹腔镜 结肠次全切除术 便秘 

分 类 号：R656.9[医药卫生—外科学]