结肠冗长症的外科治疗及研究进展  

Advances in surgical treatment of dolichocolon

作　　者：刘凯 闫峰[1] Kai Liu;Feng Yan(Department of Gastrointestinal Surgery,The Affiliated Zhongshan Hospital,Xiamen University,Xiamen 361004,Fujian Province,China)

机构地区：[1]厦门大学附属中山医院胃肠外科,福建省厦门市361004

出　　处：《世界华人消化杂志》2022年第17期743-747,共5页World Chinese Journal of Digestology

摘　　要：慢传输型便秘(slow transit constipation,STC)是近年来发病率逐渐升高的一种常见疾病.研究表明结肠冗长症是STC最常见的病因.症状严重的患者,内科治疗效果不佳,大部分患者需要外科手术治疗.通过研究对比,结肠次全切除术是治疗结肠冗长症导致的STC较为理想的手术方式,手术能够明显改善患者的排便情况.另外,腹腔镜技术及结合自然腔道取标本(natural orifice specimen extraction surgery,NOSES)技术应用于结肠次全切除术,有效地减少了术后并发症,缩短了住院时间,提高了患者的满意度.未来我们应紧跟国际前沿并结合国情,深化慢传输型便秘的临床研究,推进我国慢传输型便秘诊疗整体水平的提高.Slow transit constipation(STC) is a common disease with an increasing incidence in recent years.Studies have shown that dolichocolon is the most common cause of STC.For patients with severe symptoms,the effect of medical treatment is unsatisfactory,and most patients need surgical treatment.Through comparison,our team found that subtotal colon colectomy is an ideal surgical method for the treatment of STC caused by dolichocolon,and the operation can significantly improve the patient’s defecation.In addition,the application of laparoscopic natural orifice specimen extraction surgery to subtotal colon colectomy effectively reduces postoperative complications,shortens hospital stay,and improves patient satisfaction.Future deep clinical research of STC can promote the improvement of the overall level of its diagnosis and treatment.

关 键 词：慢传输型便秘 结肠冗长症 结肠次全切除术 腹腔镜技术 

分 类 号：R656.9[医药卫生—外科学]