慢性非特異性便秘診治的若干問題_《中國普外基礎與臨床雜志》

作者：

喻德洪 , 金黑鷹

第二軍醫大學長海醫院普外科（上海200433）;

關鍵詞：

便秘慢傳輸型便秘盒底肌功能不良

視頻：

導出 下載 收藏 掃碼 引用

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1概述
便秘是很常見的癥狀，在美國便秘的發生率為2%，英國為10%，日本為4%，我國天津為4.4%［1］，女性發病概率是男性的3倍。多數便秘患者可經藥物治療治愈或改善癥狀，少數為難治性。少數便秘患者經手術治療效果較好。便秘不是一種病，而是多種疾病的一個癥狀，不同的患者有不同的含義，包括： ①大便量少、硬，排出困難； ②排便困難合并一些特殊的癥候群，如長期用力排便、直腸脹感、排便不完全或依靠手法幫助排便； ③7天內排便次數少于2～3次。臨床上常診斷為慢性頑固性便秘或特發性便秘，但其確切含義很難描述。“慢性”意指病史至少2年，或年幼時就發病； “特發性”說明我們對便秘的原因及流行病學了解不全面； “頑固性”意指經一般藥物及非手術治療很難奏效，常需手術治療［2］。

引用本文： 喻德洪,金黑鷹. 慢性非特異性便秘診治的若干問題. 中國普外基礎與臨床雜志, 2003, 10(3): 207-208. doi: 復制

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7.	ElSalhy M, Norrgard O. Colonic neuroendocrine peptied levels in patients with chronic idiopathic slow transit constipation [J]. Ups J Med Sci, 1998; 103(3)∶223.
8.	MitoloChieppa D, Mansi G, Rinaldi R, et al. Cholinergic stimulation and nonadrenergic, noncholinergic relaxation of human colonic circular muscle in idiopathic chronic constipation [J]. Dig Dis Sci, 1998; 43(12)∶2719.
9.	Tomita R, Fujisaki S, Ikeda T, et al. Role of nitric oxide in the colon of patients with slowtransit constipation [J]. Dis Clolon Rectum, 2002; 45(5)∶ 593.
10.	Pluta H, Bowes KL, Jewell LD. Longterm results of total abdominal colectomy for chronic idiopathic constipation [J]. Dis Colon Rectum, 1996; 39(2)∶160.
11.	Fasth S,Hedlund H, Svaninger G, et al. Functional results after subtotal colectomy and caecorectal anastomosis [J]. Acta Chir Scand, 1983; 149(6)∶623.
12.	Vasilevsky CA, Nemer FD, Balcos EG, et al. Is subtotal colectomy a viable option in the management of chronic constipation? [J]. Dis Colon Rectum, 1988; 31(9)∶679.

1. 喻德洪. 現代肛腸外科學 [M]. 北京：人民軍醫出版社， 1997∶472～477.
2. Ackermann C. Constipation: medical and surgical management. In: Marti MC, Givil IC. Surgical management of anorectal and colonic diseases [M]. 2nd ed. Berlin: SpringVerlag, 1998∶331～337.
3. Pemberton JH, Rath DM, Ilstrup DM. Evaluation and surgical treatment of severe chronic constipation [J]. Ann Surg, 1991; 124(4)∶403.
4. Voderholzer WA, Wiebecke B, Gerum M, et al. Dysplasia of the submucous nerve plexus in slowtransit constipation of adults [J]. Eur J Gastroenterol Hepatol, 2000; 12(7)∶755.
5. Wedel T, Roblick UJ, Ott V, et al. Oligoneuronal hypoganglionosis in patients with idiopathic slowtransit constipation [J]. Dis Colon Rectum, 2002; 45(1)∶54.
6. ElSalhy M, Norrgard O, Spinnell S. Abnormal colonic endocrine cells in patients with chronic idiopathic slowtransit constipation [J]. Scand J Gastroenterol, 1999; 34(10)∶1007.
7. ElSalhy M, Norrgard O. Colonic neuroendocrine peptied levels in patients with chronic idiopathic slow transit constipation [J]. Ups J Med Sci, 1998; 103(3)∶223.
8. MitoloChieppa D, Mansi G, Rinaldi R, et al. Cholinergic stimulation and nonadrenergic, noncholinergic relaxation of human colonic circular muscle in idiopathic chronic constipation [J]. Dig Dis Sci, 1998; 43(12)∶2719.
9. Tomita R, Fujisaki S, Ikeda T, et al. Role of nitric oxide in the colon of patients with slowtransit constipation [J]. Dis Clolon Rectum, 2002; 45(5)∶ 593.
10. Pluta H, Bowes KL, Jewell LD. Longterm results of total abdominal colectomy for chronic idiopathic constipation [J]. Dis Colon Rectum, 1996; 39(2)∶160.
11. Fasth S,Hedlund H, Svaninger G, et al. Functional results after subtotal colectomy and caecorectal anastomosis [J]. Acta Chir Scand, 1983; 149(6)∶623.
12. Vasilevsky CA, Nemer FD, Balcos EG, et al. Is subtotal colectomy a viable option in the management of chronic constipation? [J]. Dis Colon Rectum, 1988; 31(9)∶679.

《中國普外基礎與臨床雜志》

慢性非特異性便秘診治的若干問題

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

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《中國普外基礎與臨床雜志》

慢性非特異性便秘診治的若干問題

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

摘要全文圖表視頻參考文獻施引文獻補充材料