慢性假性结肠梗阻的诊断治疗：附17例报告  

Diagnosis and treatment of chronic colonic pseudo-obstructon:a report of 17 Cases

作　　者：王希泽[1] 蒋会勇[1] 曲化远[1] 吴国强[1] 张雪峰[1] 张忻平[1] 金红旭[1] 逯云山[1] 李谨[1] 宗修锟[1] 

机构地区：[1]沈阳军区总医院普通外科,辽宁沈阳110016

出　　处：《中国普通外科杂志》2008年第5期470-473,共4页China Journal of General Surgery

摘　　要：目的探讨慢性假性结肠梗阻的诊断与治疗方法。方法回顾性分析17例慢性假性结肠梗阻患者的临床资料。结果所有患者均行手术治疗,5例右半结肠加横结肠切除,8例右半结肠加横结肠加降结肠切除,1例乙状结肠切除,1例乙状结肠造瘘,2例肠减压术。术后2例切口感染和1例左膈下脓肿,经处置后痊愈;1例术后胃瘫,保守治疗30 d治愈,1例肠减压术患者,术后19 d因脓毒症,感染性休克死亡。2例乙状结肠切除及1例肠减压患者,术后症状均无缓解。其余患者腹胀消失,排气、排便正常而获痊愈。结论慢性假性结肠梗阻是一种少见疾病,切除全部扩张的、无功能肠段可使大多数患者的症状缓解。Objective To study the diagnosis and treatment of chronic colonic pseudo-obstructon. Methods The clinical data of 17 cases of chronic colonic pseudo-obstructon were analysed retrospectively. Results All cases underwent surgical operation. Five cases had right hemicolectomy and transverse colectomy ; 8 cases had right hemicolectomy, transverse colectomy and descending colectomy; 1 case had sigmoid colectomy; 1 case had sigmoid colostomy ; and two cases had intestinal decompression procedures. After operation, 2 cases had infection of incisional wound, and 1 case had left subdiaphragmatic abscess, and the 3 patients recovered after treatment ; 1 case had gastroplegia and recovered after expectant treatment for 30 days ; 1 case undergoing intestinal decompression procedures died of septicaemia and septic shock 19 days after operation. Symptoms of 2 patient underwent sigmoid colectomy and one patient undergoing intestinal decompression procedures were not relieved after operation. The other patients recovered completely with normal passage of gas and defecating functions and no abdominal distension. Conclusioas Chronic colonic pseudo-obstructon is a rare disease. Excising dilated and nonfunctional colon can relieve the symptoms in most patients.

关 键 词：结肠假性梗阻/诊断 结肠假性梗阻/治疗 

分 类 号：R656.9[医药卫生—外科学]