摘要
目的 研究结肠旷置术(CE)治疗顽固性慢传输型便秘(STC)的临床价值及其对肠道功能的影响。方法 44例STC患者随机分为两组进行手术治疗:14例采用CE(治疗组);30例采用结肠次全切除术(对照组)。结果 治疗组与对照组的手术时间分别为(1.27±0.19)h和(2.38±0.48)h;切口长度分别为(8.7±0.8)cm和(17.4±1.8)cm;术中出血分别为(85.7±25.8)ml和(297.3±59.1)ml;住院时间分别为(9.6±1.7)d和(13.7±1.3)d;住院费用分别为人民币(3829±515)元和(4729±541)元;两组相比,差异均有显著性意义(P<0.001)。治疗组痊愈率为85.7％(12/14),好转率为14.3％(2/14);对照组痊愈率为90.0％(27/30),好转率为10.0％(3/30);两组比较,差异无显著性意义(P>0.05)。结论 CE用于STC的治疗具有切口小、出血少、手术和住院时间短及花费少等优点,是治疗STC安全可行的手术方式之一。
Objective To study the therapeutic value of colonic exclusion (CE) on intractable slow transit constipation (STC) and evaluate its influence on intestinal function. Methods Forty-four patients with STC were randomly divided into 2 groups: treatment group(14 cases) underwent CE, control group (30 cases) received subtotal colectomy. Results The operating time(h), incision length (cm), volume of blood loss (ml), hospilalization stay(d), hospitalization pay (yuan RMB) in the treatment group were (1. 27±0. 19) h, (8. 7±0.8) cm, (85. 7±25. 8) ml, (9. 6±1.7) d, (3 829±515) yuan, and (2. 38±0.48)h, (17. 4±1.8) cm, (297. 3±59. 1) ml, (13. 7±1.3)d, (4 729±541) yuan in the control group respectively ( P < 0. 001) . The recovery rate and complication incidence were 85. 7% and 90. 0% in the treatment group (P> 0.05), 7. 1% and 23.3% in the control group( P > 0.05), respectively. The intestinal function was not affected and blind-loop syndrome did not occur. Conclusions The procedure of CE is safe and feasible to treat STC. It has many advantages such as shorter operating time, less blood loss, smaller incision, and shorter hospital stay.
出处
《中华胃肠外科杂志》
CAS
2003年第6期394-396,共3页
Chinese Journal of Gastrointestinal Surgery
