【摘要】 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。更多还原

【Abstract】 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 cecoproctostomy,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.更多还原