结肠大部切除术治疗慢传输型便秘

目的评估结肠大部切除术治疗慢传输型便秘的疗效。方法选择慢传输型便秘患者15例,均为排便困难、泻剂依赖,依据结肠传输试验所测得的结果,行结肠大部切除术,术后随访患者排便情况。结果所有患者术后排便困难症状均缓解,排便1~2次/d,为半固体大便,不需口服泻药,无腹泻及肠梗阻等严重并发症,生活质量得到改善。结论对结肠慢传输型便秘患者,依据结肠传输试验所测得的结果,选择性地行结肠大部切除术近期疗效好,远期疗效有待进一步观察。

Subtotal Colectomy for Chronic Slow Transit Constipation

Objective To assess the efficacy of subtotal colectomy for chronic slow-transit constipation. Method 15 laxative-dependent chronic slow-transit constipation patients underwent subtotal colectomy according to the Balloon-expelling testing. Results All the symptoms were improved, and defecation 1 - 2 times everyday. No cathartic was needed again. No postoperative diarrhea or obstruction occurred. The life quality was improved obviously. Conclusion Subtotal colectomy is safe and effective for selected patients with chronic slow-transit constipation according to the Balloon-expelling testing. However, long-term symptomatic and functional outcomes need further study.