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目的 总结6例短肠综合征病人肠管倒置手术失败的教训，强调合理选择手术适应证的重要性和必要性，提出短肠综合征合理的治疗策略，方法 回顾性分析6例短肠综合征病人，均在外院接受肠管倒置手术，除1例为结肠倒置外，其余均为小肠倒置，倒置肠管长度从10～50cm不等，5例小肠倒置手术均在广泛肠切除的同时进行，术后1例出现吻合口瘘，4例出现肠梗阻。结果 1例病人因肝功能衰竭于术后5年死亡，1例病人放弃治疗，1例行肠瘘及倒置小肠切除治愈，2例行倒置肠管切除治愈，1例行倒置肠管复位治愈。治愈病人依靠普通饮食和部分肠内营养支持维持正常营养状况。结论 短肠综合征病人应首选肠康复治疗和小肠移植。只有极少数病人适宜进行肠倒置手术，手术时倒置肠管不应超过10cm，手术时机应在广泛肠切除2年以后进行．手术时应注意倒置肠管的血液供应，避免肠缺血。

Evaluation of reversed segment of intestine in the treatment of short bowel syndrome:A report of 6 cases

Objective To summarize the result of 6 patients with short bowel syndrome performed segmental reversal of the intestine, emphasize the importance and necessity of proper selection of treatment strategy, and suggest a rational treatment for patients with short bowel syndrome. Methods A retrospective study was made to 6 patients with short bowel syndrome performed segmental reversal of the intestinal segment. One patient was performed segmental reversal of transverse colon. The rest 5 patients were performed segmental reversal of small intestine. The reversed length of the intestine varied from 10cm to 50cm. In 5 cases, the reversal procedure was performed during massive intestinal resection. One patient had rupture and fistula of the proximal anastomosis, and 4 patients had intestinal obstruction. Results One patient died of hepatic function failure 5 years after intestinal resection. One patient refused any treatment. One patient was cured after resection of the reversed intestinal segment and the fistula. Two patients were cured after resection of the reversed intestinal segment. One patient was cured after restoration of the reversed intestinal segment. Conclusion The preferred treatments for patients with short bowel syndrome are intestinal rehabilitation therapy and intestinal transplantation. Indications for segmental reversal of the intestine are limited to a very few patients, and the reversed segment should not exceed 10cm. The operation should be performed 2 years after massive intestinal resection instead of during massive intestinal resection. Special care should be paid to the blood supply of the reversed intestinal segment in order to avoid intestinal ischemia and anastomotic leakage.