慢传输型便秘的外科治疗（附31例报告）  

Surgical treatment of slow transit constipation： A report of 31 cases

作　　者：曹志新[1] 吴剑宏[1] 杨传永[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胃肠外科中心,武汉430030

出　　处：《腹部外科》2011年第3期151-152,共2页Journal of Abdominal Surgery

摘　　要：目的探讨慢传输型便秘外科治疗方法。方法2004年1月至2010年8月对31例慢传输型便秘病人采用大肠次全切除、直肠低位前切除术、升结肠直肠低位吻合术及末端回肠预防性造口术。结果全组无死亡病例，未发生肠瘘、盆腔感染、吻合口狭窄、粘连性肠梗阻、肛门失禁等并发症。30例排便功能满意，每天大便次数平均4次；1例术后便秘症状复发，但症状较轻。1例手术后出现明显焦虑，经神经内科治疗1年后治愈；8例手术后出现较重的肛门坠胀，3～6个月后症状明显改善。结论结肠慢传输型便秘行结肠次全切除、直肠低位前切除术、升结肠一直肠低位端端吻合术、末端回肠预防性造口术控便能力好、复发率低、并发症少，疗效满意，值得推荐．Objective To evaluate the surgical management of slow transit constipation （STC）. Methods Thirty-one patients with STC undergoing subtotal colectomy and low anterior resection with ascending-colorectal anastomosis and protective ileostomy from Jan. 2004 to Aug. 2010 were reviewed retrospectively. Results There was no mortality,no severe complications such as anal anastomotic fistula,pelvic infection,anastomotic stenosis, adhesive intestinal obstruction, incontinence scale, etc. During the follow-up period, all patients had ideal continence function, and the average defecation frequency per 24 h was 4. There was 1 case of recurrent constipation with mild symptoms. One case suffered from obvious anxiety. Severe anal bulge occurred in 8 cases. Conclusion Subtotal colectomy and low anterior resection with ascending-colorectal anastomosis and protective ileostomy appears to be a satisfactory treatment for STC.

关 键 词：便秘 直肠结肠切除术 重建性 回肠造口术 

分 类 号：R574.62[医药卫生—消化系统]