Treatment of Constipation with Colo-Proctological Dynamics: A ten years' experience report by the China Traditional Chinese Medicine Colo-Proctological Treatment Center.

Mainly by combining T.C.M. with the western medicine. 22, 500 constipation out-patients, 1031 in-patients have been treated. Colo-Proctological dynamics examinations including 11032 defecographs, 5324 colon transmit tests, 652 anorectal manometry. 648 pelvic E.M.G in ten years. As to the kinds of diseases in the out-patients, it is difficult to exactly classify and count. The conditions of the 1031 in-patients are as follows.Rectocele 404 patients were rectocele patients. Methods of treatment: (1) transrectum repairment; (2) transvagina repairment and (3) through biomechanic research, we recognized the pathophysiology of the bowel movement obstruction and the cause of the faces thinning in the rectocele. Anismus 374 patients were anismus. Methods of treatment: (1) biofeedback therapy; (2) medical herbs acupuncture; (3) incision and seton therapyProlapse of rectum 100 patients were prolapse of rectum. Methods of treatment: (1) medical herbs; (2) double layers injection with medical herbs solutions; (3) ligation therapy; (4) Dixon's operation (re-built pelvic floor)Slow transmit colon 97 patients were slow transmit colon. Methods of treatment: (1) medical herbs and acupuncture; (2) Cisapride and fibre; (3) subtotal colonectomyRectal endometriosis 17 patients were rectal endometriosis. Methods of treatment: (1) medical herbs; (2) rectal surgeryStricture of anal canal 16 patients were stricture of anal canal. Methods of treatment: (1) incision with seton and dilatation therapy; (2) V-Y plasticaEnterocele 10 patients were enterocele. Local large intestinectomySpastic internal sphincter 9 patients were spastic internal sphincter. Methods of treatment: (1) anal dilatation; (2) internal sphincteroctomyMegacolon 4 patients were megacolon. Local large intestinectomyResearch orientation : Set the outlet obstruction constipation diagnosis standard and search after new non-operation therapy and microsurgery.