结肠切除直肠悬吊盆底抬高重建术治疗重度混合型便秘的临床分析(附16例报告)  

Surgical treatment of slow transit constipation and outlet obstruction constipation

作　　者：杨贵义[1] 江从庆[2] 张亚杰[2] 吴云华[2] 钱群[2] 

机构地区：[1]随州市中心医院普外三科,湖北随州441300 [2]武汉大学中南医院结直肠肛门外科

出　　处：《结直肠肛门外科》2010年第1期28-29,共2页Journal of Colorectal & Anal Surgery

摘　　要：目的探讨结肠慢传输型便秘(STC)合并出口梗阻型便秘(OOC)的外科治疗方法及疗效。方法总结16例混合型便秘手术及随访资料。13例行结肠次全切除逆蠕动盲直吻合+直肠悬吊、盆底抬高重建术,3例行结肠全切除回直吻合术+直肠及子宫悬吊、盆底抬高重建术。结果术后无严重并发症,1例患者发生粘连性小肠梗阻。随访1～3年,每天大便次数为2～4次,Wexner失禁评分(4.8±1.6)。7例患者对手术效果满意,9例非常满意。结论结肠(次)全切除、直肠悬吊、盆底抬高重建术是治疗混合型便秘的有效方法。Objective To investigate the surgical treatment of slow transit constipation （STC） and outlet obstruction constipation （OOC）. Methods Clinical data was collected from sixteen patients with chronic mixed constipation. Thirteen patients underwent subtotal colectomy with functional rectal suspension,combined with surgical elevation of pelvic floor. Three patients underwent total colectomy with functional rectal suspension,hysteropexy combined with surgical elevation of pelvic floor.Results There were no mortality and severe postoperative complications. One patient had intestinal obstruction due to adhesion. At a mean 2-year follow-up （range,1-3）,bowel frequency was a mean of 3（2-4） per day. The Wexner continence score was 4.8 1.6. All patients were satisfied with the results of their surgery. Conclusion Subtotal or total colectomy with functional rectal suspension,combined with surgical elevation of pelvic floor is an effective method for chronic mixed constipation.

关 键 词：慢传输型便秘 出口梗阻型便秘 手术 

分 类 号：R657.1[医药卫生—外科学]