Lane R H, Todd I P
Br J Surg. 1977 May;64(5):307-10. doi: 10.1002/bjs.1800640502.
Forty-two patients with idiopathic megacolon who were seen at St Mark's Hospital over an 18-year period are reviewed with regard to presentation, investigation and management. The differential diagnosis is discussed with particular reference to Hirschsprung's disease. The important aspects of medical treatment are outlined and the possible reasons for failure in more than one-half of the patients are discussed. The indications for surgical intervention in 14 patients are reviewed. The results following subtotal colectomy were better than following a localized sigmoid resection.
对在圣马克医院18年间收治的42例特发性巨结肠患者的临床表现、检查及治疗情况进行了回顾。讨论了鉴别诊断，特别提及了先天性巨结肠。概述了内科治疗的要点，并探讨了超过半数患者治疗失败的可能原因。回顾了14例患者手术干预的指征。结肠次全切除术后的效果优于局限性乙状结肠切除术。
