合并出口梗阻的慢传输型便秘的手术选择

Modified subtotal colectomy for slow transit constipation combined with outlet obstruction

目的对合并出口梗阻的慢传输性便秘的治疗存在争论,本研究评价结肠次全切除术及改进方案对合并出口梗阻的慢传输性便秘的治疗效果。方法46例患者行结肠次全切除术,对其中32例伴有不同的出口梗阻性疾病患者的手术方案进行改进,术后随访进行问卷调查,以判断手术疗效。结果43全患者得到随访,手术后腹泻6例,肠梗阻1例,排便困难未明显缓解2例。41例对手术效果满意或基本满意,满意率95.3%。结论结肠次全切除术是治疗结肠慢传输性便秘的有效手段,其改进方案治疗合并出口梗阻的慢传输性便秘取得了良好的效果。

Objective To evaluate the outcome of subtotal colectomy for slow transit constipation （STC） and the modified subtotal colectomy for STC combined with outlet obstruction constipation （OOC）. Methods Forty-six patients underwent subtotal colectomy for STC, among whom 32 patients with OOC received modified subtotal colectomy. All patients were given a questionnaire regarding postoperative bowel function and their satisfaction degree after operation to judge the curative effect. Results Forty-three patients answered the questionnaire. Postoperative diarrhoea occurred in 6 patients, ileus in 1, difficult defecation in 6. Forty-one patients were satisfied with the curative effect （ satisfaction rate was 93.5% ）. Conclusion Subtotal eoleetomy is effective for STC. Our modified subtotal colectomy for STC combined with OOC achieved a good result.