成人结肠脾曲综合征102例的诊断与外科治疗

目的 总结成人结肠脾曲综合征(syndrome of splenic flexure of colon,SSFC)的诊断与外科治疗经验.方法 对1989年7月至2010年10月收治的102例SSFC病人的临床资料进行回顾性分析.结果 本组病人以反复发作性腹痛、腹胀及便秘并顽固性不全结肠梗阻为主要临床表现.98例X线钡剂...

Diagnosis and surgical treatment of adult syndrome of splenic flexure of colon in 102 patients

Objective To summarize diagnosis and surgical treatment of adult syndrome of splenic flexure of colon （SSFC）. Methods The clinical data of SSFC in 102 patients between Jul. 1989 and Oct. 2010 were analyzed retrospectively. Results The main clinieal manifestations were repeated abdominal pain, abdominal distension, constipation and chronic incomplete colon obstruction. X-ray barium enema showed that splenic flexure of the colon was 7 cm higher than hepatic flexure of the colon. The angle of splenic flexure of the colon was less than 45°. Two patients underwent release of splenic flexure of the colon and 3 patients accepted side-to-side anastomosis of splenic flexure of the colon. The short-term effects of these methods were satisfactory, but long-term （6 months to 2 years） effects were unsatisfactory. As to the rest 97 patients, thorough operations were done： subtotal resection of proximal segment colon（20 cases）, subtotal resection of colon （28 cases） and total resection of colon （39 cases）. Ten cases complicated with colon cancer receiving radical resection were cured after surgery. Conclusion The diagnosis of SSFC is depended on clinical manifestations and barium enema. Thorough surgical treatment is the best method, including proximal part resection, subtotal resection and total resection of the colon.