结肠慢传输型便秘的外科治疗探讨  

The study of surgical treatment for colon slow transit constipation

作　　者：文习刚 史海安[2] 罗金波 晏立 

机构地区：[1]湖北省中山医院普外科,武汉430023 [2]武汉大学中南医院普外科,湖北武汉430071

出　　处：《结直肠肛门外科》2009年第6期378-379,共2页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨结肠慢传输型便秘合理的手术治疗方式。方法回顾性分析1998年7月至2007年7月实施手术的28例患者临床资料,其中5例行结肠全切除术,12例行选择性1/3结肠切除术,11例行选择性2/3结肠切除术,观察分析3种手术的治疗效果。结果28例患者手术总有效率82%,结肠全切除术无复发,选择性1/3结肠切除术复发率明显高于选择性2/3结肠切除术。结论结肠全切除术、选择性1/3结肠切除术和2/3结肠切除术3种术式对治疗STC均有满意的疗效,但结肠全切除术后患者腹泻发生率高,应根据患者的具体病情选择相应的术式。Objective To investigate the reasonable surgical Methods in the treatment of colonic slow transit constipation（STC）. Methods The clinical data of 28 patients with intractable colonic STC undergoing surgical treatment from July 1998 to July 2007 were retrospectively reviewed. Five of them underwent total colectomy, 12 underwent one-third coleetomy, and 11 underwent two-third colectomy. Results The total efficiency of the three kinds of operation was 82 %. There was no recurrence of constipation in the cases underwent total colectomy, and the cases performed one-third colectomy had a bighter recurrence rate of constipation than the cases underwent two-third colectomy. Conclusion The effectiveness of three kinds of surgical modality for STC is satisfactory, but the rate of diarrhea was high in the cases undergoing total coleetomy. The surgical modality must be selected according the conditions of patients with STC.

关 键 词：慢传输型便秘 手术 

分 类 号：R656.9[医药卫生—外科学]