查詢結果分析
來源資料
頁籤選單縮合
題名 | Abdominal Colectomy As A Treatment of Obstinate Slow Transit Constipation: Clinical Results and Aetiological Analysis=經腹結腸切除術治療頑固性慢傳輸性便秘 |
---|---|
作者 | 童衛東; 劉寶華; 張勝本; 張連陽; 黃顯凱; 高峰; Tong, Wei-dong; Liu, Bao-hua; Zhang, Sheng-ben; Zhang, Lian-yang; Huang, Xian-kai; Gao, Feng; |
期刊 | 臺灣外科醫學會雜誌 |
出版日期 | 20030500、20030600 |
卷期 | 36:3 民92.05-06 |
頁次 | 頁112-119 |
分類號 | 416.245 |
語文 | eng |
關鍵詞 | 經腹結腸切除術; 慢傳輸性便秘; Slow transit constipation; Colectomy; Treatment; Etiology; |
英文摘要 | Purpose: To assess the therapeutic effects of colectomy for obstinate slow transit constipation (STC), and to explore the etiology of STC. Methods: Thirty four patients with STC, who underwent colectomy, were enrolled to be studied. The observed parameters included the velocity of colon transit, defecography, colonoscopy, the level of serum sex hormones, and immunohistoche-mistry. Following up investigation was conducted for 6 months to 8 years, 34 months in average. Results: The colon transit time was ranged from 96 hours to 240 hours, with an average time of 136 hours. 85% (29/34) patients had obstructed outlet constipation (OOC). 50% (17/34) patients showed abnormal level of serum sex hormones. Immunohistochemistry showed that intestine had more nitric oxide synthase (NOS) and less vasoactive intestinal peptide (VIP) positive neuron. Most patients recov-ered well after operation, except for 5 cases (17.9%) of small bowel obstruction and I case (3.6%) of recurred constipation. Conclusion: Colectomy is an effective approach to treat slow transit constipation. The etiology may be related to abnormal sex hormones and enteric nervous trans-mitter disorder. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。