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1、慢傳輸型便秘外科治療進(jìn)展補(bǔ)充介紹每種手術(shù)的適應(yīng)證，謝謝！已修改劉寶華（400042重慶，第三軍醫(yī)大學(xué)大坪醫(yī)院野戰(zhàn)外科研究所普通外科、全軍便秘診治中心）[關(guān)鍵詞]慢傳輸型便秘；全結(jié)腸切除回直腸吻合術(shù)；次全結(jié)腸切除盲直腸吻合術(shù)；結(jié)腸曠置術(shù)；順行結(jié)腸灌洗術(shù)；回腸造瘺術(shù)[中圖法分類號(hào)][文獻(xiàn)標(biāo)志碼]AInternationalprogressofsurgicaltreatmentforslowtransitconstipationLiuBaohua(DepartmentofGeneralSurgery,CenterofCo
2、nstipation,DapingHospital,InstituteofSurgeryResearch,ThirdMilitaryMedicalUniversity,Chongqing,400042,China)[Abstract]Themostcommonproceduresforsurgicaltreatmentofslowtransitconstipation(STC)includetotalcolectomywithileorectalanastomosis,andsubtotalcolectomywit
3、htotalcolectomywithcaeco-rectalanastomosis.ThesubtotalcolectomyisthemainprocedureinChina.Theeffectiveratesofbothproceduresaremorethan85%.Proceduresofcolonexclusion,whichwerereportedbyChinesesurgeons,havesignificantshortagesthoughappliedwidely.Itneedsextensivec
4、linicalobservationandinvestigation.Thecolonicirrigation,ileostomy,andtotalcolectomywithileoanalanastomosisarenotsuggestedasregularsurgeries.ForpatientswithSTC,thestrictconservativetreatmentsshouldbeappliedbeforesurgery.Surgeryshouldbeappliedonlywhentheconserva
5、tivetreatmentsarefailed.Thepatientswhocombinedwithpsychiatricsymptomneedspecialtreatment.Ifsurgeryisneeded,optimalproceduresshouldbeselectedcautiously.[Keywords]slowtransitconstipation;totalcolectomywithileorectalanastomosis;Subtotalcolectomywithcecorectalanas
6、tomosis;colonicindwelling;antegradecolonenemas;ileostomySupportedbytheInternational?CooperationProjects?ofChongqing(CSTC201110010),GeneralprogramofNationalNaturalScienceFoundationofChina(81100259),andChongqingNaturalScienceFoundation(CSTC2011jjA10061).Correspo
7、ndingauthor:LIUBaohuaE-mail:LBH57268@163.com[基金項(xiàng)目]重慶市國際合作計(jì)劃項(xiàng)目（cstc201110010）；國家自然科學(xué)基金項(xiàng)目（81100259）；重慶市自然科學(xué)基金計(jì)劃項(xiàng)目（cstc2011jjA10061）[通信作者]劉寶華，男，主任醫(yī)師，教授，博士生導(dǎo)師。擔(dān)任中國肛腸診療技術(shù)創(chuàng)新聯(lián)盟副理事長，中國醫(yī)師協(xié)會(huì)結(jié)直腸專委會(huì)常委，中華醫(yī)學(xué)會(huì)外科分會(huì)結(jié)直腸肛門學(xué)組委員，全軍結(jié)直腸疾病專委會(huì)副主任委員，重慶市醫(yī)學(xué)會(huì)普通外科專委會(huì)副主任委員。為十余家國內(nèi)著名雜志編委和常務(wù)編委
8、。承擔(dān)“863”項(xiàng)目1項(xiàng)，重慶市國際合作計(jì)劃項(xiàng)目1項(xiàng)，國家自然科學(xué)基金項(xiàng)目1項(xiàng)。獲國家專利2項(xiàng)。重慶市科技進(jìn)步一等獎(jiǎng)1項(xiàng)，全軍醫(yī)療成果二等獎(jiǎng)1項(xiàng)，重慶市科技進(jìn)步二等獎(jiǎng)2項(xiàng)，全軍科技進(jìn)步三等獎(jiǎng)2項(xiàng)。主編專著3部，參編專著10余部。以第一作者在國內(nèi)外期刊發(fā)表論文百余篇。獲軍隊(duì)院校育才銀獎(jiǎng)，榮立個(gè)人二等功1次，三等功1次。享受國家政府特殊津貼。電話:(023)68
