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目的总结成人结肠冗长症的诊断与外科治疗经验。方法对53例成人结肠冗长症的临床资料进行回顾性分析。结果 53例中44例(包括未手术4例)经X线钡剂灌肠透视确诊,9例于术中确诊;行单纯乙状结肠切除9例,行部分乙状结肠切除4例,横结肠切除2例(其中腹腔镜下切除1例),行左半结肠切除10例,行右半结肠切除8例,结肠次全切除14例(其中腹腔镜下切除2例),全结肠切除2例。术后随访2个月至5 a,随访率为73.6%(39/53)。结论 X线钡剂灌肠透视是诊断本病的有效检查;外科手术是治疗本病的有效措施,而合理扩大切除范围是减少复发和腹泻的关键。
Objective To summarize the experience of diagnosis and surgical treatment of adult colon gut syndrome. Methods The clinical data of 53 cases of adult gut syndrome were retrospectively analyzed. Results Of the 53 cases, 44 cases (including 4 cases without surgery) were confirmed by X-ray barium enema and 9 cases were diagnosed intraoperatively. Nine cases underwent simple sigmoid colon resection, 4 cases underwent partial sigmoid colon resection and 2 cases underwent transverse colon resection 1 underwent microsurgical resection), 10 underwent left colon resection, 8 underwent right colon resection, 14 underwent total colon resection (2 under laparoscopic resection) and 2 underwent total colon resection. The follow-up ranged from 2 months to 5 years. The follow-up rate was 73.6% (39/53). Conclusion X-ray barium enema is an effective examination of the diagnosis of this disease; surgery is an effective measure to treat this disease, and reasonable expansion of the excision is the key to reduce recurrence and diarrhea.