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1、慢传输型便秘外科治疗进展补充介绍每种手术的适应证，谢谢！已修改刘宝华（400042重庆，第三军医大学大坪医院野战外科研究所普通外科、全军便秘诊治中心）[关键词]慢传输型便秘；全结肠切除回直肠吻合术；次全结肠切除盲直肠吻合术；结肠旷置术；顺行结肠灌洗术；回肠造瘘术[中图法分类号][文献标志码]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[基金项目]重庆市国际合作计划项目（cstc201110010）；国家自然科学基金项目（81100259）；重庆市自然科学基金计划项目（cstc2011jjA10061）[通信作者]刘宝华，男，主任医师，教授，博士生导师。担任中国肛肠诊疗技术创新联盟副理事长，中国医师协会结直肠专委会常委，中华医学会外科分会结直肠肛门学组委员，全军结直肠疾病专委会副主任委员，重庆市医学会普通外科专委会副主任委员。为十余家国内著名杂志编委和常务编委
8、。承担“863”项目1项，重庆市国际合作计划项目1项，国家自然科学基金项目1项。获国家专利2项。重庆市科技进步一等奖1项，全军医疗成果二等奖1项，重庆市科技进步二等奖2项，全军科技进步三等奖2项。主编专著3部，参编专著10余部。以第一作者在国内外期刊发表论文百余篇。获军队院校育才银奖，荣立个人二等功1次，三等功1次。享受国家政府特殊津贴。电话:(023)68
