重视小儿慢传输型便秘的规范化诊治

Standardized diagnosis and treatment of slow transit constipation in children

慢传输型便秘(slow transit constipation,STC)是儿童功能性便秘的常见类型,发病人数呈日渐增多趋势。充分认识STC的危害性、了解其病理生理和发病机制是开展个体化治疗的基础。临床工作中要做好小儿STC的诊断和鉴别诊断,根据患儿的不同病因选择最佳治疗方案。随着微创技术的发展,利用腹腔镜手术治疗保守治疗无效的难治性STC已成为多数外科医生的首选。本文结合作者对小儿STC的临床诊治经验,就STC的规范化诊治提出自己的思考和建议。

Slow transit constipation(STC)is a common type of functional constipation in children,with the increasing trendency.Fully understanding the harmfulness,pathophysiology and pathogenesis of STC is the basis of its individualized treatment.In clinical work,the diagnosis and differential diagnosis of STC in children should be done better,and the best treatment plan should be selected according to the different etiology of STC.With the development of minimally invasive techniques,laparoscopic surgery has become the first choice by most surgeons for the treatment of refractory STC failed in conservative treatment.The author aims to put forward his own thoughts and suggestions on the standardized diagnosis and treatment of STC in combination with his own clinical experience.