周致圆 李幼生

    摘 要 便秘是一种常见的胃肠道功能性疾病，根据病变发生部位的不同分为慢传输型、出口梗阻型和混合型便秘3型。内科治疗无效的便秘患者可能出现肿瘤发生率增高和心理疾病等不良事件。便秘的外科治疗主要针对内科治疗无效的难治性便秘，其虽历史悠久，但争议颇多，是腹部外科领域中公认的难题。作为顽固性便秘治疗的最后选择，便秘的外科治疗术式多样，效果也不尽相同。本文就近年来国内外临床应用较广泛的便秘的外科治疗术式及其相关研究进展作一述评，以期促进便秘外科治疗的发展。

    关键词 便秘 慢传输型便秘 出口梗阻型便秘 混合型便秘 外科治疗

    中图分类号：R574.4； R605 文献标志码：A 文章编号：1006-1533(2021)11-0015-04

    Progress in surgical treatment of constipation

    ZHOU Zhiyuan， LI Yousheng*

    (Department of General Surgery， Shanghai Ninth Peoples Hospital， Shanghai Jiao Tong University School of Medicine， Shanghai 200011， China)

    ABSTRACT Constipation is a common gastrointestinal functional disease and can be divided into three types： slow transit constipation， outlet obstruction constipation and mixed constipation. Patients with constipation who failed to receive medical treatment may have adverse events such as the increase of the incidence of tumor and mental illness. Surgical treatment of constipation is mainly for refractory constipation， which is ineffective in medical treatment. Although it has a long history， there still exist many controversies ......