结肠冗长症27例的诊断及治疗  

Diagnosis and treatment of 27 patients with redundant colon

作　　者：杨昌平[1] 郭宏荣[1] 曹金林[1] 杨仁荣[1] 郭海鹰[2] 刘桂宝[1] 

机构地区：[1]解放军第117医院普外科,杭州310004 [2]解放军第322医院普外科,大同037006

出　　处：《国际外科学杂志》2012年第7期450-452,F0003,共4页International Journal of Surgery

摘　　要：目的探讨结肠冗长症的早期诊断及有效治疗方法，以减少误诊，缩短确诊前的就医时间。方法回顾性分析解放军第117和322医院普外科2005年2月-2011年12月收治的27例结肠冗长症患者的病例资料。结果27例患者临床症状主要为早期反复出现的顽固性便秘、腹胀、腹痛、消瘦等，容易被误诊。除3例患者因乙状结肠冗长症并发扭转急诊入院手术外，24例症状持续，反复多处就医长达2-32年。经门诊钡灌肠造影确立诊断，手术切除病变肠段，随访7-11个月，患者腹胀、腹痛、便秘、消瘦等全身症状消失。结论本病较少见，要提高医务人员对本病的认识。钡灌肠X线检查是诊断本病的最好方法。确诊后外科手术是治疗最有效措施。Objective To explore the early diagnosis and effective treatment of redundant colon, and to reduce the misdiagnosis and shorten the medical treatment time before the diagnosis. Methods Clinical data of twenty- seven patients with redundant colon from February 2005 to December 2011 were retrospectively analyzed in General Surgery Department of 117th and 322th People＇ s Liberation Army Hospital. Results The clinical symptoms of 27 patients mainly as early recurrent intractable constipation, bloating, abdominal pain, weight loss and other symp- toms, were likely to be in a misdiagnosis. In addition to three patients with redundant sigmoid colon concurrent re- verse came to hospital emergency with surgery, twenty-four cases＇ symptoms persisted and came to many hospitals with medical treatment up to 32 years, diagnosed by the out-patient barium enema. After surgical resection disease bowel, 7-11 months follow-up, patients abdominal distension, abdominal pain, constipation, weight loss and other systemic unwell symptoms disappeared. Conclusion This disease is rare, we must raise the medical staff＇ s aware- ness of this disease. X- ray examination with barium enema is the best way to diagnose this disease. After diagnosis, surgery is the most effective treatment.

关 键 词：便秘 结肠疾病 结肠切除术 诊断 治疗 

分 类 号：R656.9[医药卫生—外科学]