CAJ | 학술논문

目的探讨结肠冗长症的早期诊断及有效治疗方法,以减少误诊,缩短确诊前的就医时间.方法回顾性分析解放军第117和322医院普外科2005年2月-2011年12月收治的27例结肠冗长症患者的病例资料.结果 27例患者临床症状主要为早期反复出现的顽固性便秘、腹胀、腹痛、消瘦等,容易被误诊.除3例患者因乙状结肠冗长症并发扭转急诊入院手术外,24例症状持续,反复多处就医长达2～32年.经门诊钡灌肠造影确立诊断,手术切除病变肠段,随访7～11个月,患者腹胀、腹痛、便秘、消瘦等全身症状消失.结论本病较少见,要提高医务人员对本病的认识.钡灌肠X线检查是诊断本病的最好方法.确诊后外科手术是治疗最有效措施.
목적 탐토결장용장증적조기진단급유효치료방법,이감소오진,축단학진전적취의시간.방법 회고성분석해방군제117화322의원보외과2005년2월-2011년12월수치적27례결장용장증환자적병례자료.결과 27례환자림상증상주요위조기반복출현적완고성편비、복창、복통、소수등,용역피오진.제3례환자인을상결장용장증병발뉴전급진입원수술외,24례증상지속,반복다처취의장체2～32년.경문진패관장조영학립진단,수술절제병변장단,수방7～11개월,환자복창、복통、편비、소수등전신증상소실.결론 본병교소견,요제고의무인원대본병적인식.패관장X선검사시진단본병적최호방법.학진후외과수술시치료최유효조시.
Objective To explore the early diagnosis and effective treatment of redundant colon,and to reduce the misdiagnosis and shorten the medical treatment time before the diagnosis.Methods Clinical data of twentyseven patients with redundant colon from February 2005 to December 2011 were retrospectively analyzed in General Surgery Department of 117th and 322th People's Liberation Army Hospital.Results The clinical symptoms of 27 patients nainly as early recurrent intractable constipation,bloating,abdominal pain,weight loss and other symptoms,were likely to be in a misdiagnosis.In addition to three patients with redundant sigmoid colon concurrent reverse came to hospital emergency with surgery,twenty-four cases' symptoms persisted and came to many hospitals with medical treatment up to 32 years,diagnosed by the out-patient barium enema.After surgical resection disease bowel,7-11 months follow-up,patients abdominal distension,abdominal pain,constipation,weight loss and other systemic unwell symptoms disappeared.Conclusion This disease is rare,we must raise the medical staff's awareness of this disease.X-ray examination with barium enema is the best way to diagnose this disease.After diagnosis,surgery is the most effective treatment.