腹腔镜辅助结肠次全切除术治疗结肠慢传输性便秘48例临床效果研究  

Research on Clinical Effect for Laparoscopic-assisted Colon Total Resection in the Treatment of 48 Cases of Colonic Slow Transit Constipation

作　　者：姚永良 保红平 赵永江 王俊 

机构地区：[1]曲靖市第二人民医院胃肠外科,云南曲靖655000

出　　处：《现代诊断与治疗》2013年第1期3-5,共3页Modern Diagnosis and Treatment

摘　　要：目的探讨腹腔镜辅助结肠次全切除术治疗结肠慢传输性便秘的临床效果。方法选择2009年1月～2012年3月在我院行结肠次全切除术的48例结肠慢传输性便秘患者,根据其手术方式将其分为腹腔镜组(25例)与开腹组(23例)。比较两组患者术中、术后情况及便秘症状改善率。结果腹腔镜组患者平均手术时间与开腹组相比,无统计学差异(P>0.05),但术中出血量明显少于开腹组,差异有统计学意义(P<0.05)。腹腔镜组患者肠道功能恢复时间及排便次数与开腹组相比,无统计学差异(P>0.05),而住院时间、术后引流管引流量、止痛剂使用次数、伤口并发症发生率显著低于开腹组,差异有统计学意义(P<0.05)。两组患者术后3、6个月便秘症状改善率无统计学差异(P>0.05)。结论腹腔镜辅助结肠次全切除术治疗结肠慢传输型便秘与传统开腹手术相比,治疗安全性高、并发症少、临床治疗效果良好,对缩短患者住院时间,促进其康复具有重要的临床意义。Objective To investigate the clinical effect for laparoscopic-assisted colon total resection in the treatment of 48 cases of colonic slow transit constipation. Methods 48 patients with slow transit constipation patients from January 2009 to March 2012 with colonic resection in our hospital were chosen. According to the surgical approach, they were divided into the laparoscopic group （25 cases） and the laparotomy group （23 cases）. The intraoperative, postoperative conditions and constipation symptom improvement rate for the two groups were compared.Results scopic patients compared with the open group, there was no The average operative time of the laparo- significant difference（P〉0.05）. But the blood loss was significantly less than the open surgery group, the difference was statistically significant （P〈 0.05）. The laparoscopic patients bowel function recovery time and the number of bowel movements compared with the open group, there was no significant difference （P〉0.05）, hospital stay, postoperative drainage tube drainage volume, analgesic, however, the frequency of use, wound complication rate were significantly lower than the open surgery group, the difference was statistically significant （P〈0.05）. The constipation symptoms improvement rate 3 months and 6 months after surgery was without significant difference （P〉O.05）. Conclusion Laparoscopic auxiliary colon resection of slow transit constipation compared with traditional open surgery, the treatment is of high security, fewer complications and good clinical effect. It has important clinical significance to shorten the hospital stay and promote their recovery.

关 键 词：腹腔镜 结肠次全切除术 结肠慢传输性便秘 

分 类 号：R656.9[医药卫生—外科学]