It is _'s cause of disease of main reason of forming the enteric constipation that the colon structure makes a variation
[Summary ] purpose: Canvass cause and therapeutic method which form the enteric constipation. Method: Discharge feces with X-ray radiography and the intersection of barium and enema unite two into one, check, combine colon, transport test, find out about the intersection of colon and structure and function of rectum. Result: Radiography and barium enema combine the inspection into a single unit through discharging feces to 840 X-rays of our academy, there is colon structure that made a variation above 60% of obstinate constipation, the ones that amalgamated rectum export obstructing constipation were more than 99%, three find, obstruct factor obviously only, common the intersection of colon and reason of constipation have second the intersection of form and the intersection of colon and lengthy, tortuous, lengthy transverse colon, half a colon repeats lopsided types on the left, the descending colon are tortuous,etc., and the belly surgery treatment is held to 74 routine among them, the cure rate of disposable operation reaches 81. 5% . Conclusion: It is the chronic not complete intestinal obstruction made a variation to take shape to form enteric constipation by the colon structure. The surgery treatment should be launched positively and cautiously. General materials L, source of the materials are patients of an our academy who went to a doctor with obstinate constipation in July of a 1999 of November of 1989, age is the 4.5 years most younger, the 79 years most older. Open 74 operations of belly, the age is the 18 years most younger, the 62 years most older. 840 cases of radiography and barium enema materials that intact X-ray discharges feces.2,Operation classify excise 64 of skill by simple second the intersection of form and colon, left half colon excise the intersection of transverse colon and the intersection of rectum and identical 4, half a colon puts 3 and carries and fits with end of rectum far free from worries and petty ideasly on the left of rectum anastomosis of transverse colon, transverse colon component excise and second the intersection of form and the intersection of colon and component excise example, l of skill, jejunum side identical duodenum and second form colon excises the skill l example, second form forms the mesenterium to shorten the skill l example. Result 74 the intersection of operation and one fully recover 69, 5 good to need with the intersection of cathartic and assist, among them one direct identical tone after the identical equal toing device narrow the intersection of department and second result, fully recover after two operations. Accompany transverse colon to be lengthy to excise lengthy tortuous second colon result good form only in the same way, two competent to fully recover after the rectum identical transverse colon operation. Another 3 wait to further perform the operation, 2 transverse colons are too lengthy to deal with, another l example promotes colon and caecum to expand, colon transport test the intersection of caecum and thing underlined still after the 3 day, might need the whole colon of conduct to excise, the rectum of ileum is identical. Other patients fully recover and defecate normally. Phenomenon without suffering from diarrhoea in the same way. The operation excises one section of samples of intestines and sends pathological diagnosis, except that two ganglions are normal, the others have ganglion wither and quantity reduce even not scarce such as. Discussion It is the therapeutic method which enteric surgery of the anus has comparatively recommended in the past ten years both at home and abroad that the obstinate surgery of constipation excises one section of even the whole colons of some intestines and excises, but because does not have unified diagnosis that treat the standard yet at present, check some defects before the skill, not skill ago it can't last ganglion it lack if pathology check,medical workers and patients professional is getting getting more scarce comparatively in more knowledge in this respect, have limited the development of the operation. First, diagnostic method must be further unified.We are launching the image of the obstinate constipation to learn to diagnose that emphasizes clinician must participate in the radiography is being checked from the beginning of 1989, the amount of barium irritated of the radiography is only 350 ml to discharge feces according to the experience X-ray of other unit in initial stage, can only irritate to the rectum, second the intersection of form and colon, can't find out about the intersection of colon and structure in an all-round way, do behind getting rid of second the intersection of form and colon, the intersection of rectum and sections of issue the intersection of barium and enema understand the whole colon situation. It is unavoidably one-sided to check, lengthened and diagnosed time at the same time, caused the economic pressure to patient. The more serious one is aforesaid several patients whose postoperative result is unsatisfied, until transverse colon lengthy and transverse colon drop pelvis, the intersection of bag and shape to disappear, excise lengthy tortuous second form colon just, cause two operations. The lesson in this respect is deep. We diluted barium pharmaceutical first time after 1992, irritated barium quantity and rose to 600- 700 ml, the patient could irritate to the caecum and colon rises. Equal and poach, observe the lengthy tortuous situation of colon and take a photograph of one slice of records, the radiography of and then discharging feces thereafter, take a photograph of quiet interest, the intersection of strength and arrange, mucomembranous looks, stand the location and observe and rank barium situation afterwards, take a photograph of slice if necessary. Radiography combine one inspection, find out about whole colon and situation of rectum in an all-round way with discharge feces the intersection of X-ray and the intersection of barium and enema in this way. Second, form enteric constipation result from the reason that the colon structure make a variation mainlyWe find second form colon lengthy and tortuous to account for and exactly organize 840 60% the above in checking, transverse colon lengthy to account for 10% about at the same time, drop pelvis to sometimes, left half colon repeat lopsided type to find 25, descending colon tortuous to find 3, second frank intersection converts into the song and mixes the sacral bone and separates for 34 direct, the others are to obstruct in one section of exits of simple rectum. Only 3 for 840 cases of radiography has not found the factor of obviously obstructing, two highs year among them pulmonary emphysema, one Alzheimer's take medicine patient for a long time. More than 60% of the patients are that the rectum of colon have factor of obstructing to also call hybrid constipation. Third, form the cause discussion of the enteric constipationInborn second colon lengthy tortuous repeating, should form enteric important reason of constipation while being getting lopsided by the intersection of transverse colon and lengthy the intersection of left and half colon form, avoid symptom when the intestinal function can be compensated, or present symptom disconnectedly, form obstinate constipation after losing and compensating, does not even defecate for several weeks and even several months sometimes. The internal organs of cavity of abdominal cavity all keep supporting by membrane of several departments after people stand upright, any obstruct factor lead to the fact intestines of the intersection of content and thing list blockage, can cause some the intersection of intestines and section receive gravity factor flagging, as time passes the mesenterium is limp and forms the acute angle in spleen song and straight juncture of second, content thing have one course to look through mountain, obstruct, also can cause second the intersection of form and colon and horizontal coloptosis sent to continue by rectum. So the colon structure will make a variation congenitally or have the day after tomorrow. We though have second form lengthy colon while having a lot of patients, horizontal coloptosis, , also can reach the stool unobstructedly or basically unobstructedly, has disproofed this. Fourth, form the enteric constipation operation to mean what examines is judgedX-ray the intersection of barium and enema reveal getting obstinate the intersection of constipation and patient obstruct segment and the intersection of upside and intestine some to have a lot of change, expand too and the intersection of bag and shape disappear, some the intersection of patient and the intersection of bag and shape present the intersection of segment and, disappear, if whole second the intersection of form and the intersection of colon and the intersection of bag and shape disappear, the transverse colon is lengthy to rise a section of bag shape disappears. We think and rely on cathartic and defecate the patient that and the result decreased progressively for a long time, through check, find the intersection of colon and structure make a variation serious it is important operation that mean, examine through auxiliary the intersection of body posture and the intersection of exercise and good to disappear with the intersection of bag and shape at the same time result, in our operation excises the enteric pathological diagnosis of section, there is intestines ganglion disappearing, wither, the reduced situation of quantity besides patient not too long of the specific medical history. Infer it may be due to oppression of the enteric wall of long-term stool retention, but not the congenital ganglion is scarce like, the congenital ganglion lacks if symptom appears promptly after born in more. Such as inborn huge colon. It is a inspection that we must carry on to the operation patient that colon is transported and tested, it can assist and judge that excise the enteric amount of section, there are accurate judgements on prognosis. But we, to only transporting the test through colon to conclude the normal and slow transportation of the transportation function have different views, the situation that the mark thing can't be listed of more than 5 days may also appear in low-order obstructing, also must observe the intersection of movement and situation of every day such as thing such as mark, if one horizontal second form, companion of coloptosis, lengthy patient study carefully, compete, excise second the intersection of form and colon only and the intersection of left and half colon excise, test if mark can only up to the horizontal coloptosis position by thing in first 24 hour through transport, need half a colon of left of conduct to excise. If can up to second the intersection of form and colon first 24 hour, transverse colon can consider, cut, can consider walking and forming the mesenterium sideways and shortening the skill in excising second form colon skill. But if there is so too much that the spleen song get and difficult horizontal coloptosis it may be constipation recuring or important reason not good of postoperative result in the future. Operation radical some affect the general situation also, should assess synthetically, structure of colon make a variation, bag type, the intersection of transportation and experimental the intersection of three and comprehensive assessment, can't be too conservative. Fifth, the positive surgical treatment is the first-selection of the obstinate constipationBecause overwhelming majority getting obstinate constipation because the intersection of colon and structure make a variation getting the whole intestinal obstruction forming, if does not adopt the surgery treatment, patients may support all the life, its harmfulness is well-known, in addition the lose of the intestinal function is a progressive course, it can develop into the whole colon from a certain segment gradually. Took cathartic for a long time, the intestines wall deals with strength and drops gradually too, in addition, everybody had a difference on understanding of constipation in the past few decades, a lot of patients have already reached the stage performing the operation and solving, continue the cathartic treatment, can only delay the condition, the propaganda of popular science that is strengthened in this respect and continuing education of medical worker are imperative.
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