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目的探寻结肠慢传输型便秘创伤较小的手术方法。方法对 12例经结肠传输试验诊断为结肠慢传输型便秘的患者施行盲直肠端侧吻合术 ,将结肠病变肠段旷置而不作次全或全部切除 ,术后观察患者便秘的缓解情况 ,并与行结肠次全切除、盲直肠端端吻合术的 3 4例患者作对照。结果治疗组手术均成功 ,术中时间平均 85分钟 ,失血量 72 .7ml,术后无肠梗阻出现 ,大便 1～ 3次 /d ;对照组手术成功 3 3例 (1例因肠吻合口梗阻 ,次日行结肠造口 ) ,术中时间平均174分钟 ,失血量 3 10ml,大便 1～ 5次 /d ;两组均随访 1年 ,无症状复发者。结论保留结肠的盲直肠端侧吻合术治疗结肠慢传输型便秘疗效确切 ,创伤小 ,手术时间短 ,值得临床推广
Objective To explore the method of surgical treatment of slow traumatic constipation in colon. Methods Twelve patients who underwent colonic transit test diagnosed as slow transit constipation underwent end-to-end anastomosis of the iliac rectum. The intestinal segments of colonic lesions were excised without subtotal or total resection. The patients’ constipation relief was observed after operation In contrast, 34 patients underwent subtotal colon resection and end-to-end anastomosis. Results The operation of the treatment group was successful. The average time of operation was 85 minutes and the blood loss was 72.7ml. There was no postoperative intestinal obstruction and stool 1-3 times / d. The operation of the control group was successful in 33 cases (1 case of intestinal anastomotic obstruction , The next day colon colostomy), intraoperative time average 174 minutes, blood loss 3 10ml, stool 1 ~ 5 times / d; two groups were followed up for 1 year, asymptomatic recurrence. CONCLUSION: The method of preserving the colon of the end-to-end anastomosis in the treatment of slow transit colon constipation is effective, less traumatic and shorter operative time, which is worthy of clinical promotion