乙状结肠冗长症22例外科治疗分析

Experience in the surgical treatment of 22 patients with redundant sigmoid colon

目的探讨乙状结肠冗长症的诊疗措施。方法回顾分析22例乙状结肠冗长症患者的诊疗过程。结果22例患者中3例行非手术治疗，疗效满意，有效率为lOO％；19例行手术治疗，17例疗效满意，有效率为89．47％。结论对于顽固性便秘患者，医师应考虑到乙状结肠冗长症的可能，诊断主要依靠钡剂灌肠造影，治疗方法首选非手术治疗，无效时手术治疗，手术指征应严格把握，术前应充分肠道准备。

Objective To investigate the diagnostic and therapeutic measurements for the disease of redundant sigmoid colon. Methods Twenty-two patients diagnosed as redundant sigrnoid colon disease and received treatments were retrospectively analysed. Results Three of the 22 patients received conservative treatment with satisfactory efficacy （ 100.00% ）. Among the 19 patients who received surgical treatment, 17 have satisfactory efficacy （ 89.47% ）. Conclusion For patients with intractable constipation, the possibility of redundant sigmoid colon should be considered. The diagnosis for this disease mainly depends on barium enema. Non-surgical treatment is prefered as first choice. Surgical procedure can be performed when conservative treatment fails. The indications of surgical treatment should be restrictly defined and a complete colon preparation is required before the operation.