腹腔镜改良Duhamel术治疗慢传输型便秘  

Laparoscopic Modified Duhamel Procedure in the Treatment of Slow Transit Constipation

作　　者：梁逸超[1] 李洪亮[1] 殷红专[1] 苏琪[1] 刘宝林[1] 

机构地区：[1]中国医科大学附属盛京医院结直肠肛门病外科,沈阳110004

出　　处：《中国医科大学学报》2011年第8期749-751,共3页Journal of China Medical University

摘　　要：目的评价腹腔镜改良Duhamel术治疗慢传输型便秘(STC)的疗效。方法回顾性分析8例行腹腔镜改良Duhamel术的STC患者的临床治疗及随访结果。结果本组患者手术均获成功,手术时间为160～220 min,手术出血量40～100 mL,术后肠蠕动恢复时间为30～48 h,住院时间8～15 d,切口平均长度7 cm。所有患者术中无并发症发生。术后仅1例患者发生肠梗阻,术后1个月时排便可控制在4次以下,术后5个月胃肠质量评分可接近正常人。结论腹腔镜改良Duhamel术治疗STC安全有效。Objective To evaluate the therapeutic efficacy of modified Duhamel procedure in the treatment of slow transit constipation（STC）.Methods The clinical treatment and follow-up results of 8 patients with STC who underwent laparoscopic modified Duhamel surgery were analyzed retrospectively.Results All operations were performed successfully.The operation time was 160 to 220 minutes,the estimated operative blood loss was 40 to 100 mL.The time to resume intestinal function was 30 to 48 hours.The postoperative hospital stay was 8 to 15 days.The mean length of incision was 7 cm.There was no postoperative complication.Bowl obstruction occurred in one patient.A month later,the frequency of defecation is less than 4 times per day.Five months after the operation,scores of gastrointestinal quality of life index for the patients approached those of normal people.Conclusion Laparoscopic modified Duhamel surgery is safe and effective for treating patients with STC.

关 键 词：慢传输型便秘 腹腔镜 改良Duhamel手术 

分 类 号：R656.9[医药卫生—外科学]