CAJ | 학술논문

目的：探讨女性患者慢传输性便秘（slow transit constipation，STC）合并盆底疝的外科治疗疗效。方法12例女性STC合并盆底疝患者行结肠次全切除＋逆蠕动盲直吻合＋阑尾切除＋直肠悬吊＋盆底抬高手术治疗。结果通过电话及门诊全部随访，9例临床治愈，3例有显著疗效。结论女性患者尤其是高龄患者，STC多合并出口梗阻型便秘（outlet obstnlctive constipation， OOC），如盆底疝；完善围手术期处理可提高手术的安全性；手术治疗女性STC合并盆底疝患者是有效治疗措施之一。
목적：탐토녀성환자만전수성편비（slow transit constipation，STC）합병분저산적외과치료료효。방법12례녀성STC합병분저산환자행결장차전절제＋역연동맹직문합＋란미절제＋직장현조＋분저태고수술치료。결과통과전화급문진전부수방，9례림상치유，3례유현저료효。결론녀성환자우기시고령환자，STC다합병출구경조형편비（outlet obstnlctive constipation， OOC），여분저산；완선위수술기처리가제고수술적안전성；수술치료녀성STC합병분저산환자시유효치료조시지일。
Objective To investigate the curative effect of surgical therapy for female patients with slow transit constipation(STC)combined with pelvic floor hernia.Methods Twelve female patients with STC combined with pelvic floor hernia were treated with subtotal colectomy,anti-peristaltic cecoproct-ostomy,appendectomy,rectal suspension and surgical elevation of the pelvic floor.Results All patients were followed up through outpatient visit and telephone.Clinical cure is noticed in 9 cases and significant efficacy is noticed in 3 cases.Conclusion STC is usually combined with outlet obstructive constipation (OOC)such as pelvic floor hernia,especially in aged females.Security of the surgery can be enhanced by optimizing perioperative management.Surgical treatment is one of the effective measures for female patients with STC combined with pelvic floor hernia.