夏楚琦 梁道明

    【摘要】 我国成人慢性便秘的发病率逐年上升，对人们生活带来严重困扰。便秘可分为功能性便秘和继发性便秘，其中由结肠传输功能紊乱而导致的慢传输型便秘(slow transit constipation，STC)是功能性便秘最常见的类型。对于长期内科治疗无效的STC患者，外科手术治疗是最后的手段。外科治疗STC的手术发展至今，在全结肠切除或次全切除后，再行回直肠吻合术(ileorectal anastomosis，IRA)、盲肠直肠吻合术(cecorectal anastomosis，CRA)及回肠乙状结肠吻合术(ileosigmoidal anastomosis，ISA)等对治疗STC来说效果较肯定，而近些年发展起来的金陵术、盲肠乙状结肠吻合术(cecosigmoidal anastomosis，CSA)等术式也有较佳疗效的报道。本文针对STC的外科治疗进展做一综述，详细介绍治疗STC的各种手术的手术方式、手术适应证、临床效果和术后并发症，为了解STC外科治疗的现状及进展提供帮助。

    【关键词】 便秘 慢传输型便秘 外科治疗 次全结肠切除术 全结肠切除术

    Status and Progress of Surgical Treatment of Slow Transit Constipation/XIA Chuqi， LIANG Daoming. //Medical Innovation of China， 2021， 18(35)： -180

    [Abstract] The incidence of chronic constipation in Chinese adults is increasing year by year， which brings serious troubles to people’s life. Constipation can be divided into functional constipation and secondary constipation， among which slow transit constipation (STC) caused by colonic transmission dysfunction is the most common type of functional constipation. For STC patients who have failed long-term medical treatment， surgical treatment is the last resort.In terms of the treatment of STC ......