乙状结肠冗长症22例外科治疗分析

目的 探讨乙状结肠冗长症的诊疗措施.方法 回顾分析22例乙状结肠冗长症患者的诊疗过程.结果 22例患者中3例行非手术治疗,疗效满意,有效率为100%;19例行手术治疗,17例疗效满意,有效率为89.47%.结论 对于顽固性便秘患者,医师应考虑到乙状结肠冗长症的可能,诊断主要依靠钡剂灌肠造影,治疗方法 首选非手术治疗,无效时手术治疗,手术指征应严格把握,术前应充分肠道准备.

Abstract：

Objective To investigate the diagnostic and therapeutic measurements for the disease of redundant sigmoid colon. Methods Twenty-two patients diagnosed as redundant sigmoid colon disease and received treatments were retrospectively analysed. Results Three of the 22 patients received conservative treatment with satisfactory efficacy (100. 00% ). Among the 19 patients who received surgical treatment, 17 have satisfactory efficacy (89. 47%). Conclusion For patients with intractable constipation, the possibility of redundant sigmoid colon should be considered. The diagnosis for this disease mainly depends on barium enema. Non-surgical treatment is prefered as first choice. Surgical procedure can be performed when conservative treatment fails. The indications of surgical treatment should be restrictly defined and a complete colon preparation is required before the operation.

Experience in the surgical treatment of 22 patients with redundant sigmoid colon

Objective To investigate the diagnostic and therapeutic measurements for the disease of redundant sigmoid colon. Methods Twenty-two patients diagnosed as redundant sigmoid colon disease and received treatments were retrospectively analysed. Results Three of the 22 patients received conservative treatment with satisfactory efficacy (100. 00% ). Among the 19 patients who received surgical treatment, 17 have satisfactory efficacy (89. 47%). Conclusion For patients with intractable constipation, the possibility of redundant sigmoid colon should be considered. The diagnosis for this disease mainly depends on barium enema. Non-surgical treatment is prefered as first choice. Surgical procedure can be performed when conservative treatment fails. The indications of surgical treatment should be restrictly defined and a complete colon preparation is required before the operation.