结肠镜复位术治疗慢性肠扭转引起不完全性肠梗阻30例临床分析

目的探讨结肠镜复位术治疗慢性结肠扭转引起的不完全性肠梗阻的临床经验.方法对30例慢性结肠扭转引起不完全性肠梗阻患者通过结肠镜复位治疗的疗效进行分析.结果 30例反复出现不完全性肠梗阻患者经结肠造影或结肠镜诊断为存在结肠扭转,局部肠管扭曲严重,除外其他因素引起不完全性肠梗阻,所有患者经结肠镜复位术治疗后腹痛、腹胀、便秘等不适症状明显缓解,无恶心、呕吐症状,能自主排气、排便.结论临床上反复出现痉挛性腹痛、腹胀及恶心、呕吐、排气、排便减少的老年患者和便秘患者,应考虑存在慢性结肠扭转的可能,经结肠镜诊断后即可行肠镜复位术治疗,该术式成功率高,风险小,术后腹痛、腹胀及便秘等不适症状可明显缓解.

Clinical Analysis on Thirty Cases of Incomplete Intestinal Obstruction Induced by Chronic Colonic Volvulus by Treated with Colonoscope Reposition

Objective To explore the clinical experiences in treating chronic incomplete intestinal obstruction by colonoscope reposition. Method The curative effects of colonoscope reposition in 30 cases of chronic colonic torsion caused by incomplete intestinal obstruction were analyzed. Results Thirty patients with recurrent incomplete obstruction were diagnosed to have serious local intestinal distortions caused by colon volvulus using colonoscopy or colonography. Except incomplete intestinal obstruction induced by other factors,the symptoms of abdominal pain,bloating,constipation were relieved,no nausea and vomiting,and independent exhaust defecation were observed in all cases. Conclusion Once the elder and constipation patients show recurrent spasmodic colic,bloating, nausea and vomiting, the possible of chronic colonic volvulus should be considered. In this situation,colonoscope reposition which is able to effectively relieve the symptoms of abdominal pain,bloating and constipation with high success rate and low risk could be operated after diagnosis.