摘要
目的总结成人结肠冗长的诊断与外科治疗经验。方法对32例成人结肠冗长症的临床资料进行回顾性分析。结果32例患者中,26例(81%)有顽固性便秘,11例(34%)有腹痛、腹胀,6例(19%)便秘与腹泻交替出现。25例经X线钡剂灌肠透视确诊。17例为结肠冗长症Ⅰ型,5例为Ⅱ型,10例为Ⅲ型。本组行乙状结肠切除15例;右半结肠切除2例;降结肠、乙状结肠切除,将脾曲横结肠向下游离与直肠上端吻合5例;横结肠、降结肠、乙状结肠切除,再将横结肠右半拉下与直肠上端吻合7例;全结肠切除,回肠末端与直肠上端吻合3例。术后随访3个月～4年,疗效满意。结论经X线钡剂灌肠可确诊成人结肠冗长症;外科手术是治疗本病的有效措施。
Objective To summarize the diagnostic and surgical experiences of 32 cases with adult dolichocolon. Method A retrospective analysis of the pathological types, diagnosis and treatment of 32 cases with adult dolichocolon was performed. Results The main manifestations were constipation in 81%of the cases, abdominal pain and distention in 34%, and constipation alternative with diarrhea in 19%. Diagnosis was made in 25 cases by barium enema. Dolichocolon was divided into 3 types including single segment dolichocolon in 17, 2 segments dolichocolon in 5 and 3～4 segments dolichocolon in 10 cases. Sigmoidectomy was performed in 15 cases, right hemicolectomy in 2, descending colon and sigmoid resection in 5, and transverse and descending colon and sigmoid resection in 7, and pancolectomy in 3 cases. The curative effect got well after follow up for 3 months to 4 years. Conclusions Barium enema is the main diagnostic method, and only operation is the effective treatment for dolichocolon.
出处
《中华胃肠外科杂志》
CAS
2004年第2期124-126,共3页
Chinese Journal of Gastrointestinal Surgery
