结肠缓慢运输型便秘的外科治疗

Surgical treatment of colouic slow-transit constipation

目的探讨结肠缓慢运输型便秘的病因、诊断及外科治疗方法。方法本组病例均经结肠运输试验，排粪造影，结肠气钡双重造影；肛管内测压，肛门括约肌肌电图等检查后确立诊断，并行全结肠切除加回肠、直肠吻合术及结肠次全切除加盲肠、直肠吻合术等治疗，术后随访１ａ。结果本组病例经手术治疗，痊愈１１例，１例术后腹泻。结论结肠缓慢运输型便秘的病因尚不完全明确，但病程中一些因素可加重病情，结肠运输试验是确诊该病的重要手段之一，结肠次全切除加盲肠、直肠吻合术是治疗该病的较为有效的外科治疗方法。

Objective To search for the causes, diagnosis and surgical treatment of colonic slow- transit constipation.Metheds All the patients were received the test of colonic transit, defection radiography,dynamic examination of anorectum, double contrast radiogaphy of colon, anal sphincter EMG,and 1 year follow-up survey after total or subtotal colectomy.Result All the patients received operation, of these, 11 cases were recovery, 1 case had complicated with diarrhia after operation.Conclution The original causes of this disease has not beau clear, but some factors can make this disease severe during the development of it,test of colonic transit times is one of the most important way to diagnosis this disease,subtotal colectomy and cecorectostomy is an effective surgicsl therapy for this disease.