外科治疗顽固性慢传输性便秘的疗效评价

目的:研究顽固性慢传输性便秘（STC）外科治疗方法与结果。方法:回顾分析我院近几年来治疗STC 24例患者的临床资料。结果:18例患者接受全结肠切除术治疗，6例接受结肠次全切除术，其中14例合并有出口梗阻性便秘（OOC）的患者，术前都给予相关手术矫治，手术治愈率95.8％，术后大便次数平均为（3±1.9）次/d。腹胀由术前的75.0％降为12.5％。1例术后便秘症状复发。结论:结肠切除术是治疗STC的理想手术方式，为保证手术取得良好效果，对合并有OOC的患者术前应行积极矫治处理。

Surgical treatment of refractory slow-transit constipation

Abstract:Objective:To evaluate the method and outcome of surgical treatment for refractory slow-transit constipation (STC). Methods:Clinicopathologic data of 24 patients with severe STC which underwent colectomy in recent years were retrospectively analyzed. Results:18 of the patients underwent pancolectomy,and 6 underwent subtotal colectomy. All of the 14 STC patients complicated with outlet obstructive constipation(OOC) were corrected preoperatively by related surgery. The curative rate of surgical treatment was 95.8％,with an average of（3±1.9） times of bowel motion per day. The incidence of abdominal distention decreased from 75％ to 12.5％. One patient who underwent ileorectal anastomosis developed recurrent constipation. Conclusions:Colectomy produces satisfactory results in the majority of patients with refractory slow-transit constipation.Patients complicated with OOC should undergo energetic preoperative correction therapy,in order to ensure a satisfactory surgical outcome.