移动盲肠症327例诊断与外科治疗

Diagnosis and treatment of mobile cecum in 327 patients

目的总结移动盲肠症(mobilececum,MC)的诊断与外科治疗。方法回顾性分析我院1976年1月至2006年12月收治的MC327例的临床资料。结果本组324例根据病变情况及盲肠移动度,择期选用不同术式行盲肠固定术,治愈285例(88.0%),术后症状未缓解并加重者39例。其中,再次行回盲部切除术16例,行右半结肠及过长结肠切除23例,均治愈。盲肠扭转并肠坏死的3例,行急诊右半结肠切除术治愈。结论凡诊断明确并有明显临床症状的MC病人,应行盲肠固定术。如效果不佳,应根据病人病情施行回盲部切除或右半结肠切除术,也可取得良好效果。

Objective To summarize the experience in diagnosis and treatment of mobile cecum （MC）. Methods The clinical data of 327 cases of MC from Jan. 1976 to Dec. 2006 were analyzed retrospectively. Results According to movement degree of cecum, different operation methods were chosen. Curative rate of cecopexy in 285 patients was 88. 0 %. In 39 patients whose symptoms were not relieved after cecopexy, 16 patients were treated with ileocecal junction resection, and 23 with right hemicolectomy. Cecalvolvulus and colonic necrosis in 3 parients were treated with emergency right hemicolectomy. All patients were cured by surgical operations. Conclusion As MC is diagnosed, cecopexy should be done. If effectiveness of cecopexy is not satisfactory, ileocecal junction resection or right hemicolectomy can be done.