摘要
目的探讨原发性慢性假性结肠梗阻的外科诊断与治疗。方法分析以“便秘”诊断而入院治疗的69例临床资料,男12例,女57例,平均年龄45岁,总结诊治要点。结果69例分为四型:出口梗阻型(Ⅰ型)11例,慢传输型(Ⅱ型)16例,混合型(慢传输+出口梗阻)(Ⅲ型)26例,原发性慢性假性结肠梗阻(Ⅳ型)16例。Ⅳ型患者年龄轻、病程短、病史中因肠梗阻接受手术者多、最终靠手术治愈的比例高,术式以全结肠切除为主。结论原发性慢性假性结肠梗阻的临床特征与慢传输型及混合型便秘有许多相似之处,急性发作时症状容易与一般肠梗阻、Ogilvie综合征相混淆,应注意鉴别诊断。
Objective To investigate the diagnosis and treatment of idiopathic chronic colonic pseudo-obstruction（ICCPO）. Methods In this study 69 patients admitted for “constipation” were finally found falling into one of the 4 groups： 11 cases of outlet obstructive constipation, 16 cases of slow transit constipation, 26 cases of mixed type, and 16 of ICCPO. Results The main symptoms of these 16 ICCPO cases were intractable constipation, compared with that in other entities ICCPO tends to affect patients at younger age, with shorter clinical course, and often needs surgical intervention due to intractable bowel obstruction, usually total colectomy. Conclusions ICCPO, STC and mixed constipation are different clinical entities. The differentiation of ICCPO from other entities is sometimes very difficult especially when patients are suffering from acute onset of bowel obstruction.
出处
《中华普通外科杂志》
CSCD
北大核心
2005年第10期629-631,共3页
Chinese Journal of General Surgery
关键词
肠假性梗阻
便秘
诊断
鉴别
Intestinal pseudo-obstruction
Constipation
Diagnosis, differential
