快速康复外科治疗慢传输型便秘  

Fast track surgery treatment of STC

作　　者：朱跃坤[1] 姜峰奇[1] 朴大勋[1] 朱安龙[1] 姜涛[1] 王宁[1] 

机构地区：[1]哈尔滨医科大学附属一院结直肠外科,黑龙江哈尔滨150001

出　　处：《结直肠肛门外科》2012年第6期341-344,共4页Journal of Colorectal & Anal Surgery

基　　金：国家自然基金资助项目(项目批准号30972878)

摘　　要：目的评价腹腔镜技术治疗慢传输型便秘(STC)的疗效。方法回顾性分析34例STC患者的治疗,通过收集术前临床基本情况、术中情况及术后并发症等指标进行回顾性研究。采用胃肠生活质量评分、Wexner便秘评分2项指标来进行术后长期随访以评估手术效果。结果对比分析组患者手术均获成功,未出现手术相关性死亡。其中行腹腔镜手术治疗的时间为120～190min,手术出血量40～100mL,术后肠蠕动恢复时间为24～48h,住院时间8～15d,切口平均长度5cm,开腹组患者手术时间为110～170min,手术出血量80～140mL,术后肠蠕动恢复时间为48～96h,住院时间12～18d,切口平均长度20cm,术后6个月时排便可控制在4次/d左右,胃肠质量评分可接近正常人。结论快速康复外科治疗STC安全有效优于开腹结肠次全切除术。Objective To evaluate the curative effect of laparoscopic treatment of slow transit constipation（STC）. Methods The clinical data of 34 patients with STC treatment were analyzed retrospectively.Gastrointestinal quality of life index （GIQLI） and Wexner constipation score were used to evaluate postoperative long-term follow-up and assess the effect of laparoscopic treatment. Results Two groups of patients were cured. The time of laparoscopic surgery was 120 to 190min. There is 40 to 100 mL of blood loss during the surgery. The postoperative first bowel movement is 24~48 h. And the average time of hospital stay is 8~15 day. The average incision length is 5 cm in the laparoscopic group. Comparing with the laparoscopic group, 110~170min of the operative time, 80 ~140 ml of blood loss, 48~96 h of postoperative first bowel movement time , 12 to 18 days of hospital stay, 20cm of average incision length were found in the patients with laparotomy. What’s more, six months after surgery, defecation of patients with laparotomy can be controlled within 4 and the gastrointestinal quality score was close to normal. Conclusion The application of fast track surgery treatment of STC is safer and more effective than sbtotal clectomy.

关 键 词：快速康复外科 慢传输型便秘 腹腔镜 结肠次全切除术 

分 类 号：R656.9[医药卫生—外科学]