选择性结肠切断旷置术治疗结肠瘫痪症的探讨

Discussion on the Selective Colonic Amputation ＆ Exclusive Procedure in the Treatment of Constipation Caused by Severe Colon Slow Transit

探讨一种可行的治疗结肠瘫痪症（重度结肠慢传输型便秘）的外科手术方式。有选择性地保留近端适当结肠肠段，将远端结肠之口侧封闭后旷置，用保留的肠段行结-乙／结-直吻合术。28例中痊愈25例（89．3％），显效2例（7．1％），好转1例（3．6％），总有效率100％。结果表明，选择性结肠切断旷置术治疗结肠瘫痪症术式简单，疗程缩短，安全有效，有较大临床应用价值。

For the objective of exploring a feasible surgical procedure in the treatment of severe colon slow transit constipation（also called as colon paralysis by authors）,authors took following procedure .. selectively saving proximal suitable segment of colon, closing distant outlet and taking as exclusive set, then performing anastomosis of the saved segment of colon with sigmoid or rectum（i, e colon-sigmoid or colon-rectum）, for 28 cases of this disease. As results,among the 28 cases,25 were cured （25/28,89.3%）,2 received significant effects（2/28,7.10%）,improved symptoms were in one case （1/28,3.6%）, thus total effective rate was 100%. These results show that this procedure has such advantages as simple to handle, shorter treatment course, safe and effective properties ,as well as better clinical applicable value.