Hata Y, Sasaki F, Uchino J
First Department of Surgery, University of Hokkaido, School of Medicine, Sapporo, Japan.
J Pediatr Surg. 1988 Feb;23(2):141-2. doi: 10.1016/s0022-3468(88)80143-x.
An operative procedure for patients with chronic constipation with megarectum and its results is presented. Eleven cases of idiopathic chronic constipation showing megarectum on barium enema underwent this operation. Bowel habits of operated patients were evaluated at 1 to 5 years after the operation. Complete cure was obtained in eight cases. Three cases were improved but needed occasional suppositories. This procedure, sphincteromyectomy and sphincteroplasty, may be an operation of choice for chronic constipation with megarectum, when nonoperative methods fail.
本文介绍了一种针对患有巨直肠的慢性便秘患者的手术方法及其结果。11例经钡剂灌肠显示为巨直肠的特发性慢性便秘患者接受了该手术。对手术患者的排便习惯在术后1至5年进行了评估。8例患者完全治愈。3例患者有所改善，但偶尔需要使用栓剂。当非手术方法无效时，这种手术，即括约肌切除术和括约肌成形术，可能是治疗伴有巨直肠的慢性便秘的一种选择手术。
