成人先天性巨结肠14例

14 cases of adult congenital megacolon

[背景 ]探讨成人先天性巨结肠的诊断与手术方法的体会 .[病例报告 ]14例患者中 7例术前确诊 ,另 7例术中确诊 ;一期行根治性手术 7例 ,二期行手术 4例 ;死亡 3例 .[讨论 ]长期便秘史结合钡剂灌肠检查是术前确诊的主要依据 ,根据病情采取不同的手术方法是提高疗效、降低并发症和死亡率的关键 .

BACKGROUND To probe into diagnoses and operation methods of adult congenital megacolon.?CASE REPORT?7 of 14 cases were diagnosed before operation and another 7 cases were diagnosed in operation. Primary radical operations were performed in 7 cases, secondary operations in 4 cases, and 3 cases were dead.?DISCUSSION?Long term history of constipation and examination with barium enema are the main basis of diagnosing the adult congenital megacolon before operation and to selecting different operations according to the patient's conditions is the key to increase curative effect, reduce complications and death rate.