成人结肠冗长症的临床诊断及外科手术治疗研究

成人结肠冗长症的临床诊断及外科手术治疗研究
古仲相;陈晓英
【期刊名称】《国际医药卫生导报》
【年(卷),期】2014(20)21
【摘要】Objective To analyze experience of clinical diagnosis and surgical operation in treatment of adult dolichocolon.Method The clinical data of 50 patients who had been diagnosed as adult dolichocolon were retrospectively analyzed.Results 41 patients appeared intractable constipation.18 patients had recurrent episodes of abdominal distention,abdominal pain,nausea,vomiting and other symptoms.6 patients had acute intestinal obstruction.Sigmoid volvulus occurred in 5 patients.After diagnosed by surgery and barium enema X-ray fluoroscopy,40 cases were Ⅰ type,3 cases were type Ⅱ,and 7 cases were Ⅲ type.6 cases were treated with emergency operation,after elective bowel preparation,4.4 cases were treated with operation.4.8 patients showed abnormal changes under microscope.42 cases were followed up after operation,and symptoms of 38 case disappeared.Conclusion Diagnosis of adult dolichocolon is mainly based on the clinical manifestation and barium enema X-ray fluoroscopy.The most common treatment method of this disease is surgical treatment,and the results are satisfactory.%目的分析研究成人结肠冗长症的临床诊断及外科手术治疗的经验.方法对50例已确诊为成人结肠冗长症患者的临床资料进行回顾性分析.结果 41例(82.0％)患者出现顽固性
便秘;18例(36.0％)患者出现反复发作的腹胀、腹痛、恶心、呕吐等症状;11例(22.0％)患者便秘、腹泻交替,以便秘为主;6例(12.0％)患者出现急性肠梗阻;5例(10.0％)患者发生乙状结肠扭转.经手术及X线钡餐灌肠透视确诊后,Ⅰ型(单节段结肠冗长)40例,Ⅱ型(两节段结肠冗长)3例,Ⅲ型(三节段以上结肠冗长)7例.经急诊手术治疗患者6例(12％),择期肠道准备后行手术治疗44例(88％).48例(96.0％)患者可见镜下异常改变.42例(84.0％)患者进行术后随访,38例(90.5％)患者症状消失.结论成人结肠冗长症的诊断主要依据典型的临床表现和X线钡餐灌肠透视进行确诊;治疗本病最常用的方法是外科手术治疗,治疗效果满意.
【总页数】3页(P3282-3284)
【作者】古仲相;陈晓英
【作者单位】518116 深圳市龙岗中心医院;518112 深圳市第三人民医院口腔科【正文语种】中文
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