摘要
目的 研究改良结肠旷置术对老年顽固性慢传输型便秘的临床应用价值。方法 选择无出口梗阻的老年顽固慢传输便秘患者 2 3例 ,随机分为两组进行手术治疗 :11例采用改良结肠旷置术 (治疗组 ) ,12例采用结肠次全切除术 (对照组 )。结果 治疗组与对照组手术时间分别为(1.5 1± 0 .2 3)h和 (3.2 0± 0 .2 6 )h ;切口长度分别为 (9.30± 0 .6 5 )cm和 (2 1.5 0± 0 .98)cm ;术中出血分别为 (2 9.6± 15 .7)ml和 (6 3.2± 2 3.9)ml;住院时间分别为 (10 .2± 2 .1)d和 (15 .3± 1.9)d。两组相比 ,手术时间、切口长度、出血量、住院时间均具有显著性差异 (P <0 .0 0 1)。治疗组与对照组均治愈 ,疗效无显著差异。结论 改良结肠旷置术对老年顽固性慢传输型便秘患者治疗效果肯定 ,并具有切口小、出血少、手术和住院时间短等优点 ,是治疗老年顽固性慢传输型便秘安全可行的手术方式之一。
Objective To study the therapeutic value of improve colonic exclusion on intractable slow transit constipation (STC) of the elder. Method Twenty-three patients with STC were randomly divided into treatment group and control group,11 cases in treatment group underwent improve colonic exclusion and 12 in control group received subtotal colectomy. Results The treatment group and the control group were all recovery. The operating time (h), incision length (cm), volume of blood loss (ml), hospitalization stay (d) were (1.51±0.23) h, (9.30±0.65) cm,(29.6±15.7) ml,(10.2±2.1) d in treatment group;and (3.20 ±0.26) h,(21.50±0.98) cm,(63.2±23.9) ml,(15.3±1.9) d in control group respectively, there were significant differences between two groups (P<0.001). Conclusions The procedure of improve colonic exclusion is safe and feasible in treatment of STC. It has many advantages such as shorter operating time, less blood loss, smaller incision, and shorter hospital stay.
