巨结肠性便秘及其诊治有关问题  

Diagnosis and management of constipation associated with megacolon

作　　者：傅传刚[1] 徐晓东[1] 

机构地区：[1]第二军医大学附属长海医院肛肠外科,上海200433

出　　处：《中国实用外科杂志》2013年第11期910-913,共4页Chinese Journal of Practical Surgery

摘　　要：巨结肠性便秘是一种特殊类型的便秘,虽然便秘和排便困难与功能性便秘相似。但其发病机制、临床表现、治疗方式和原则与功能性慢性便秘有很大区别,严格意义上讲两者属于完全不同的疾病。根据病因不同可分为先天性巨结肠和后天性(获得性或特发性)巨结肠;根据部位不同可分巨结肠、巨直肠和巨大肠。巨结肠常伴有明显腹胀、腹部膨隆、呕吐和营养不良,影像学检查显示结肠和直肠明显扩张。其外科手术充满挑战,手术方式和手术操作涉及的范围非常复杂,由于其相对比较少见,大多数临床医生,包括结直肠专科医生也比较缺乏诊治经验,应引起足够重视,由相对有经验的专科医生进行诊治。Constipation associated with megacolon as a special type of intractable constipation is sinificantly different in the etiology, clinical manifestation and especially the managemnt. Depending on the etiology, it can be divided as congenital megabowel or Hirschsprung＇ s and idiopathic megabowel. And depending on the location of dilatation, it can be divided as megacolon, megarectum and megabowel. Besides the intractable constipation, most of megabowel patients have abdominal distention and may palpate abdominal mass. Imaging examination shows dilated colon and rectum. The management of bowel is difficult due to its rare incidence and complicated situation with high incidence of complication and recurrence.

关 键 词：巨结肠 便秘 

分 类 号：R6[医药卫生—外科学]