慢传输型便秘外科治疗进展

Progress in surgical treatment of slow transit constipation

近年来,慢性便秘呈缓慢上升趋势,慢传输型便秘(slow transit constipation,STC)是慢性便秘最常见的一种类型,外科治疗是STC治疗的重要手段.由于目前对于STC的发病原因及发病机制尚未完全明确,及术前缺乏精确定位病变结肠的检查方法,导致治疗STC手术方法的多样性.近三十年来,随着医学技术的不断进步,STC的外科治疗不断发展,手术方法不断创新;手术方法经历了从简单到复杂再到个体化选择,从单一手术方法到多种手术方法选择,从经腹开放手术到腹腔镜微创手术.本文从STC的术式产生和发展过程来阐述STC外科治疗疗效和进展.

In recent years, the incidence of chronic constipation has showed a slow upward trend. Slow transit constipation（STC） is the most common type of chronic constipation, and surgical treatment is one of the important means for the treatment of STC. Because the etiology and pathogenesis of STC are not completely clear, and preoperative examinations cannot precisely localize the lesion in the colon, many surgical procedures for STC have emerged. In the past 30 years, surgical treatment of STC has experienced the transition from simple procedure to complex and even individualized procedure, from a single surgical approach to a variety of surgical methods, and from open surgery to laparoscopic minimally invasive surgery. In this paper, we will review the progress of surgical treatment of STC.