慢传输型便秘手术治疗的评价

目的 探讨慢传输型便秘（ＳＴＣ）合理的手术治疗。方法 手术治疗慢传输型便秘３２例，其中１７例单纯ＳＴＣ患者行结肠次全切除或全结肠切除术，２例行左半结肠切除，１例行全结肠及部分间肠切贮袋肛管吻合术，２例行左半结肠切除术，１５例合并出口梗阻型便秘者均加行改良式Ｏｎ‘ｓ直肠悬吊、盆底抬高、子宫悬吊术；４例加盆底疝修复术；６例加直肠产膨出修补术。结果 １７例单纯ＳＴＣ患者痊愈率１００％（１７／１７），排便

Evaluation of surgical treatment for slow transit constipation

Objective To evaluate the efficiency of surgical intervention on patients with slow transit constipation (STC). Methods 32 patients, who consisted of 17 cases of simple STC and 15 of STC complicated with outlet obstructive constipation (OOC) were selected in this study. Among the 17 cases of simple STC, 14 were treated with subtotal or total colectomy, 2 with left hemicolectomy and 1 with total colectomy and partial ileoectomy and among the 15 cases of STC complicated with OOC, 12 cases were treated with subtotal or total colectomy, 2 with left hemicolectomy and 1 with total colectomy and anastomosis between the ileal store bag and rectal tube. Moreover, modified Orr's rectopexy, elevation of pelvic floor and uteropexy wrer done in the latter 15 cases and pelvic herniorrhaphy was done in 1 case and repair of rectocele in 5 cases. Results All the 17 cases of simple STC were cured and they had bowel novement 1 to 3 times daily. 10 out of the 15 of STC complicated with OOC were cured, 3 showed an improvement of constipation and 2 remained invalid. Constipation relapsed in 2 cases 6 months after operation. 5 patients complained of obvious abdominal distension, abdominal pains, defective defication and tenesmus after operations. Conclusion The curative effect of surgical intervention on simple STC is satisfactory while that on STC complicated with OOC has to be improved with other measures.