CAJ | 학술논문

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.
목적 분석연구성인결장용장증적림상진단급외과수술치료적경험.방법 대50례이학진위성인결장용장증환자적림상자료진행회고성분석.결과 41례(82.0％)환자출현완고성편비;18례(36.0％)환자출현반복발작적복창、복통、악심、구토등증상;11례(22.0％)환자편비、복사교체,이편비위주;6례(12.0％)환자출현급성장경조;5례(10.0％)환자발생을상결장뉴전.경수술급X선패찬관장투시학진후,Ⅰ형(단절단결장용장)40례,Ⅱ형(량절단결장용장)3례,Ⅲ형(삼절단이상결장용장)7례.경급진수술치료환자6례(12％),택기장도준비후행수술치료44례(88％).48례(96.0％)환자가견경하이상개변.42례(84.0％)환자진행술후수방,38례(90.5％)환자증상소실.결론 성인결장용장증적진단주요의거전형적림상표현화X선패찬관장투시진행학진;치료본병최상용적방법시외과수술치료,치료효과만의.
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.