全结肠切除加回肠造口术对特发型巨结肠性便秘的疗效分析

发布时间：2018-04-17 02:21

本文选题：巨结肠性便秘 + 全结肠切除术　；参考：《医学与哲学(B)》2017年01期

【摘要】：探讨全结肠切除加回肠造口术治疗特发型巨结肠性便秘的疗效。回顾性分析2005年1月~2013年12月在笔者医院接受手术治疗的35例特发型巨结肠性便秘患者的临床资料,其中结肠次全切除加回肠-乙状结肠侧侧吻合/升结肠-直肠端端吻合术患者13例和全结肠切除加回肠造口术患者22例,观察对比两组患者术后并发症及随访资料。在术后并发症指标观察中,发现全结肠切除术组的术后腹腔内感染率和术后炎性肠梗阻发生率明显少于结肠次全切除术组,其差异有统计学意义(P0.05)。在随访指标观察中,发现全结肠切除术组术后再手术干预率显著低于结肠次全切除术组,并全结肠切除术组无一例术后复发而再次手术的患者(P0.05)。特发型巨结肠性便秘更加适合行全结肠切除加回肠造口术。
[Abstract]:To investigate the effect of total colectomy and ileostomy in the treatment of special type Hirschsprung's constipation.The clinical data of 35 patients with special macrocolonic constipation who underwent surgical treatment in our hospital from January 2005 to December 2013 were analyzed retrospectively.There were 13 patients with subtotal colectomy and ileo-sigmoid anastomosis and 22 patients with total colectomy and ileostomy. The postoperative complications and follow-up data of the two groups were observed and compared.The incidence of postoperative intraperitoneal infection and postoperative inflammatory intestinal obstruction in the total colectomy group was significantly lower than that in the subtotal colectomy group, and the difference was statistically significant (P 0.05).It was found that the rate of postoperative reoperation intervention in total colectomy group was significantly lower than that in subtotal colectomy group, and there was no recurrence in total colectomy group (P 0.05).Special type Hirschsprung's constipation is more suitable for total colectomy and ileostomy.
【作者单位】：大连大学附属新华医院普通外科;
【基金】：2016年辽宁省自然科学基金项目资助(201602037) 2015年大连大学博士启动基金项目资助(20151QL019)
【分类号】：R656.9

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