摘要
目的探究结肠慢传输型便秘(STC)的有效外科手术治疗方法。方法回顾性分析73例STC病人的手术治疗情况。结果行结肠全切除术9例术后均出现短期内腹泻,其中2例为顽固性腹泻;行结肠次全切除术51例术后出现短期内腹泻12例,腹泻率低于结肠全切除术(P<0.05);行盲直肠端侧吻合术9例术后出现短期内腹泻2例,与结肠次全切除术腹泻率差异无显著性,但手术时间和失血量显著减少(P<0.01)。随访中发现,行结肠全切除术和盲直肠端侧吻合术的病人未出现便秘复发,行结肠次全切除术51例1例便秘复发;行结肠部分切除术4例中短期内复发3例。结论结肠全切除、次全切除和盲直肠端侧吻合术治疗STC效果较好,结肠部分切除术的疗效有待进一步研究。
Objective To explore an effective surgical procedure in treating colonic slow transit constipation （SIC）. Methods Surgery treatment of 73 cases with STC were retrospectively reviewed. Results Short team diamhea happened in 9 cases who had pancolectomy,2case among them tumed to be refractory diarrhea; Short team diarrhea happened in 12 out of 51 cases who had subtotal colectomy, the incidence rate of diarrhea subtotal colectomy patients was lower than that in patients with pancolectomy（P 〈 0.05） ; Short team diawhea happened in 2 cases out of 9 who had cecum rectum end -to-side anastomosis,which was not significantly differnt compared with that of subtotal colectomy,but the openation duration and blood loss reduced more significantly（P〈 0.01） .The follow up showed no recurrence of constipation in patients who had pancolectomy and rectum end-to-side anastomosis,one recurrence of constipation case in 51 cases with subtotal colectomy;3 cases out of 4 who had partial resection of colon had recurrence partial resection of colon.Conclusions Pancolectomy ubtotal colectomy and rectum end-to-side anastomosis have satisfactory therapeutic effects in treating STC,while for partial resection of colon methods,the therapeutic effects need further evaluation.
出处
《浙江临床医学》
2008年第5期597-598,共2页
Zhejiang Clinical Medical Journal
