结肠慢运输型便秘诊断及治疗研究

The diagnosis and surgical treatment of slow transit constipation of the colon

目的 应用全结肠腔内压力测定及结肠运输试验拍片诊断结肠慢运输性便秘。方法结肠运输功能X ray摄片检查 71例 ,46例为患病组 ,2 5例为健康对照组 ;全结肠道测压 82例 ,46例为患病组 ,36例为健康对照组 ,患病组中 2 9例手术治疗 ,15例作全结肠切除 ,12例作部分结肠段切除术 ,2例单纯回乙结肠端侧吻合术。结果 标记物在慢运输型便秘患者的结肠中滞留时间明显延长。结肠测压值有明显差异 ,患者均治愈。病理检查示肠壁肌纤维变细、断裂 ,神经节细胞明显减少。结论 结肠运输功能X ray摄片及全结肠测压对诊断慢运输型便秘有较大价值 ,全结肠或选择性肠段切除对该病有效。

Objective To evaluate the intraluminal manometry of the colon and X ray examination of colon transport in the diagnosis of slow transport constipation (STC).[WT5”HZ] Methods [WT5”BZ] 46 patients and 25 healthy controls underwent X ray examination of colon transport function, and colonic intraluminal manometry. 29 patients received colectomy including total in 15, partial in 12, and ileo sigmoidocolostomy in 2. [WT5”HZ] Results [WT5”BZ] It was found that the marker of transport function test within the colon was held for much longer time than normal controls and the colonic intraluminal pressure was much lower in patients than in controls.[WT5”HZ]Conclusion [WT5”BZ] Intraluminal manometry of the colon and X ray examination of colonic transport function test help in establishing the diagnosis of STC. Total or partial colectomy effected a cure for STC.