Glarner A, Müller A, Caduff R, Gemsenjäger E
Chirurgische Klinik, Spital Neumünster, Zollikerberg/Zürich.
Schweiz Med Wochenschr. 1998 Nov 7;128(45):1755-62.
Severe constipation in adults with megarectum may be a manifestation of Hirschsprung's disease or idiopathic megarectum. The differential diagnosis is discussed in the light of two case histories. Total abdominal proctectomy with coloanal anastomosis eliminated the aganglionic rectal segment in Hirschsprung's disease and the adynamic distal colorectum of idiopathic megarectum respectively. The surgical and functional results of a hand-sewn transanal end-to-end-anastomosis were excellent in both patients.
患有巨直肠的成人严重便秘可能是先天性巨结肠或特发性巨直肠的一种表现。根据两个病例讨论鉴别诊断。全腹直肠切除术加结肠肛管吻合术分别消除了先天性巨结肠的无神经节直肠段和特发性巨直肠的动力不足的远端结肠直肠段。两名患者行手工缝合经肛门端端吻合术的手术和功能结果均极佳。
