摘要
目的 探讨结肠冗长症的外科治疗术式 ,以提高治疗效率 ,减少并发症。方法 结合国内外文献及我院 12例结肠冗长症外科治疗的体会 ,探讨结肠切除的合理范围。结果 结肠冗长症所致的顽固性便秘术后效果较为满意。随访 6个月～ 8年 ,以横结肠大部分切除 +左半结肠切除效果最佳 ,无腹泻并发症。结论 结肠冗长症外科治疗切除结肠的范围应尽可能的扩大。横结肠大部分切除 +左半结肠切除并不增加腹泻并发症。合理性的扩大切除是减少复发的关键。
Objective To explore the surgical procedures of redundant colon in order to improve the curative effectiveness and reduce complication with diarrhea.Methods Rational scope of colon resection was analyzed and summarized according to domestic and overseas documentations and experience of our hospital in 12 cases of redundant colon receiving surgical treatment.Results The curative effect of redundant colon-induced pertinacious constipation after operation was satisfactory.During a follow-up of 6 months to 8 years,resection of transverse colon plus left side colon could obtain best results.No serious diarrhea occurred.Conclusion The scope of colon resection should be probably extended in surgical treatment of cases of redundant colon.The complication with diarrhea was not added after resection of transvers colon resection+left side colon.Rational extended scope of colon resection is the key to reduce recurrence.
出处
《腹部外科》
2004年第6期341-342,共2页
Journal of Abdominal Surgery
