中华结直肠疾病电子杂志
中華結直腸疾病電子雜誌
중화결직장질병전자잡지
Chinese Journal of Colorectal Diseases
2014年
5期
2-3
,共2页
诊断%治疗%结肠脾曲综合征
診斷%治療%結腸脾麯綜閤徵
진단%치료%결장비곡종합정
Diagnosis%Therapy%Syndrome of splenic flexure of colon
结肠脾曲综合征指结肠脾曲处的弯曲部积聚过多气体或粪便引起腹胀、腹痛及顽固性不全结肠梗阻的一种综合征。发病原因尚不清楚，多数学者认为与先天性结肠固定点异常有关。最常用的检查方法是X线钡剂灌肠大肠造影。治疗以彻底的近段、次全及全结肠切除术最为合理，且效果亦最理想。充分的术前准备是手术成功的关键措施之一。
結腸脾麯綜閤徵指結腸脾麯處的彎麯部積聚過多氣體或糞便引起腹脹、腹痛及頑固性不全結腸梗阻的一種綜閤徵。髮病原因尚不清楚，多數學者認為與先天性結腸固定點異常有關。最常用的檢查方法是X線鋇劑灌腸大腸造影。治療以徹底的近段、次全及全結腸切除術最為閤理，且效果亦最理想。充分的術前準備是手術成功的關鍵措施之一。
결장비곡종합정지결장비곡처적만곡부적취과다기체혹분편인기복창、복통급완고성불전결장경조적일충종합정。발병원인상불청초，다수학자인위여선천성결장고정점이상유관。최상용적검사방법시X선패제관장대장조영。치료이철저적근단、차전급전결장절제술최위합리，차효과역최이상。충분적술전준비시수술성공적관건조시지일。
Splenic flexure syndrome refers to excessive gas or feces accumulated at splenic flexure of colon,which presents with abdominal distention ,abdominal pain and chronic incomplete colon obstruction . The etiology is not clear ,some scholars think that it is associated with abnormal congenital colonic fix point . Barium enema with x-ray is most commonly used to diagnose the syndrome .Surgery is the most reasonable and ideal treatment,which includes partial,subtotal or total colectomy.Adequate preoperative preparation is the key of the surgery .
