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本文总结了自1990年7月至1997年1月我院对各类顽固性便秘进行检查,发现99%以上的病例均能在直肠及结肠找出梗阻因素,我们得出的结论是顽固性便秘的实质是慢性的不全性肠梗阻,且经常是多种梗阻因素并存,有的互为因果。临床上我们将顽固性便秘分为三型即直肠型(出口梗阻型)、结肠型、直结肠混合型。本文着重介绍我们在开展中西医结合治疗直肠型便秘的理论与实践,提出直肠型便秘产的原因主要足直肠腔径的相对狭窄,以直肠粘膜脱垂为主,另外对直肠瓣先天性增宽对便秘产生进行了探讨。对直肠前突我们认为不应将其作为一个单独病种来处理,而应对其合并的直肠粘膜脱垂作为主要病因进行治疗,治疗上应以“疏”为主,而不应采用“堵”的方法。本文对“耻骨直肠肌综合征”、“盆底痉挛综合征”病因进行探讨,认为其基本病理仍是直肠粘膜脱垂,我们未采用耻骨直肠肌切断术,而采用以悬挂硬化萎缩疗法为主的综合疗法,取得较好的效果。本文总结了我院开展的悬挂硬化萎缩疗法,经直肠骶前间隙硬化剂注射,直肠瓣电切术及挂线疗法、直肠粘膜闭式缝扎术,内括约肌松解术及手法扩肛等6种方法对患者进行个体化综合治疗,治疗直肠型(出口梗阻型)便秘的经验。我们认为中西医结合治疗顽固性便秘是较好的一种方法,从我们的治疗实践来看,?
This article summarizes from July 1990 to January 1997 in our hospital for examination of various types of intractable constipation and found that more than 99% of the cases were found in the rectum and colon obstruction, we concluded that intractable constipation The essence is chronic incomplete intestinal obstruction, and often a variety of obstructive factors co-exist, and some mutual causal. Clinical refractory constipation we divided into three types that is rectal (outlet obstruction type), colon, colon, colon mixed type. This article focuses on our theory and practice of Integrative Medicine in the treatment of rectal constipation, put forward the reasons for the production of rectum constipation mainly the relative narrow stenosis of the rectum to the main rectal prolapse, the other congenital widening of the rectal flap Constipation was explored. For the rectocele we think it should not be treated as a single disease, but should be its treatment of rectal mucosal prolapse as the main cause of treatment should be based on “sparse” rather than “blocking” Methods. This article discusses the causes of “puborectalis syndrome” and “pelvic floor spasm syndrome”, that the basic pathology is still rectal mucosal prolapse, we did not use puborectalis resection, and the use of suspension sclerosis therapy based Comprehensive treatment, achieved good results. This article summarizes the sclerotherapy in our hospital sclerosis sclerotherapy, transrectal presacral sclerosis sclerotherapy, rectal flap resection and thread therapy, rectal mucosal closed suture, sphincter lysis and manipulation of the anus and other 6 Methods of individual patient comprehensive treatment, treatment of rectal (outlet obstruction type) constipation experience. We believe that the combination of traditional Chinese and Western medicine treatment of intractable constipation is a better method, from our treatment practice point of view,?