大陆结肠管道用于严重便秘的直肠疏散
N S Williams1, S F Hughes, B Stuchfield
1Surgical Unit, Royal London Hospital, Whitechapel, UK.
Lancet (London, England)
|May 28, 1994
概括
使用大陆结肠管的新手术技术改善了70%的直肠排泄障碍患者的肠道排泄. 这种程序提供了一个更简单的替代方案来管理困难的肠道状况.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 直肠疏通障碍在患者管理中存在重大挑战.
- 对这些情况而言,保守措施往往是无效的.
- 需要新的外科手术方法来改善治疗结果.
研究的目的:
- 引入和评估一种用于治疗直肠疏通障碍的新型手术程序.
- 为了评估大陆结肠管道的有效性和安全性,该管道具有输入式门.
主要方法:
- 一个大陆结肠管是从10名患者的sigmoid结肠手术创建的.
- 管道内装有一个内置式门,以方便灌和疏散.
- 根据疏散时间,不适,便频率和并发症来评估患者的结果.
主要成果:
- 最初,所有10名患者都报告了减少疏散时间和不适的感觉.
- 在90%的手术后患者中,便的频率显著增加 (中位数为1.5至7次/周).
- 30%的患者出现并发症,其中2人需要转换为结节切开术.
结论:
- 大陆结肠管道手术是一种可行的手术选择,适用于某些患有直肠疏通障碍的患者.
- 该技术在大多数患者的肠道功能改善方面初步取得了成功.
- 由于潜在的并发症,仔细选择和监测患者至关重要.
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