结肠切除术用于治疗便秘已有近一百年的历史,近来报道的治疗效果却不尽人意,近半数患者术后发生了更为严重的便秘、腹痛或大便失禁。本文作者认为便秘不仅与结肠运输试验延迟有关,与直肠排泄不良,如出口处梗阻、盆底痉挛综合征等也有关。然而,只有无直肠排泄不良的便秘患者行结肠切除术才可取得满意的效果,否则,往往导致失败。所以,以前临床上只根据有无结肠运输延迟来决定便秘患者是 Colonic resection for the treatment of constipation has been nearly a hundred years of history, recently reported treatment is unsatisfactory, nearly half of patients had more severe postoperative constipation, abdominal pain or fecal incontinence. The author of the paper believes that constipation is not only related to the delayed transit of colon, but also to the excretion of rectum, such as obstruction at outlet and pelvic spastic syndrome. However, only patients without constipation who have poor rectal excretion underwent colonic resection to achieve satisfactory results, otherwise they often fail. Therefore, in the past, depending on whether the colon transport delay to determine constipation patients