摘要
目的 探讨慢传输型便秘 (STC)合理的手术治疗。方法 手术治疗慢传输型便秘 32例 ,其中17例单纯STC患者 14例行结肠次全切除或全结肠切除术 ,2例行左半结肠切除 ,1例行全结肠及部分回肠切除术。 15例合并出口梗阻型便秘者 12例行结肠次全切除或全结肠切除术 ,1例行全结肠及直肠切除、回肠贮袋肛管吻合术 ,2例行左半结肠切除术。 15例合并出口梗阻型便秘者均加行改良式Orr′s直肠悬吊、盆底抬高、子宫悬吊术 ;4例加盆底疝修复术 ;6例加直肠前膨出修补术。结果 17例单纯STC患者痊愈率 10 0 %(17 17) ,排便每日 1～ 3次。 15例并存出口梗阻型便秘的患者痊愈率 6 6 .7% (10 15 ) ,好转率 2 0 % (3 15 ) ,无效 13 .3 % (2 15 ) ,2例半年后便秘复发 ,5例术后有明显腹胀、腹痛、排便不尽 ,肛部坠胀等症状。结论 单纯性STC患者手术治疗效果较好 。
Objective To evaluate the efficiency of surgical intervention on patients with slow transit constipation (STC). Methods 32 patients, who consisted of 17 cases of simple STC and 15 of STC complicated with outlet obstructive constipation (OOC) were selected in this study. Among the 17 cases of simple STC, 14 were treated with subtotal or total colectomy, 2 with left hemicolectomy and 1 with total colectomy and partial ileoectomy and among the 15 cases of STC complicated with OOC, 12 cases were treated with subtotal or total colectomy, 2 with left hemicolectomy and 1 with total colectomy and anastomosis between the ileal store bag and rectal tube. Moreover, modified Orr's rectopexy, elevation of pelvic floor and uteropexy wrer done in the latter 15 cases and pelvic herniorrhaphy was done in 1 case and repair of rectocele in 5 cases. Results All the 17 cases of simple STC were cured and they had bowel novement 1 to 3 times daily. 10 out of the 15 of STC complicated with OOC were cured, 3 showed an improvement of constipation and 2 remained invalid. Constipation relapsed in 2 cases 6 months after operation. 5 patients complained of obvious abdominal distension, abdominal pains, defective defication and tenesmus after operations. Conclusion The curative effect of surgical intervention on simple STC is satisfactory while that on STC complicated with OOC has to be improved with other measures.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2000年第5期462-464,共3页
Journal of Third Military Medical University
