急性结肠假性梗阻19例临床分析

Clinical analysis of 19 cases with acute colonic pseudoobstruction

目的 探讨急性结肠假性梗阻的临床特征和诊治方法。方法回顾性分析19例急性结肠假性梗阻患者的临床表现、诊断和治疗。结果临床主要表现为腹胀、肛门停止排便排气，X线显示结肠扩大；手术治疗4例，非手术治疗15例，均治愈。结论X线和结肠镜检查是诊断急性结肠假性梗阻的主要方法，大多数急性结肠假性梗阻可以通过非手术治疗治愈，早期诊断和正确治疗是治疗成功的关键。

Objective To explore clinical feature,diagnosis and treatment of acute colonic pseudoobstruction （ACPO）. Methods To analyze retrospectively the clinical manifestation, diagnosis and treatment in 19 patients with ACPO. Results ACPO usually presented with abdominal distention, anal stopping defecation exhaust, X-ray showed that the colon expanded flatulence obviously. 19 cases were cured including 4 cases were treated by operation and 15 cases by non-operation. Conclusions X-ray and colonoscopy examination are the main methods of diagnosis. The overwhelming majority of patients with ACPO can be cured by non-operation. Early diagnosis and correct treatment are the key of treatment.