便秘外科诊治指南（2025版）

Guidelines for surgical diagnosis and treatment of constipation (2025 edition)

摘要:

慢性便秘是一种常见的功能性肠病，严重影响患者的生活质量与心理健康。《便秘外科诊治指南》先后于2008、2017年发布和再版，对我国便秘外科的发展起到了一定的推动作用。随着对便秘病理机制认识的深入及微创外科技术的进步，为进一步完善诊疗体系，该分会再次组织多学科专家，依据国内外最新循证医学证据，采用GRADE系统对证据质量和推荐强度进行分级，形成《便秘外科诊治指南（2025版）》。新版指南系统更新了便秘的病因评估、诊断方法、非手术与手术治疗策略，明确了手术指征及术式选择原则，强调个体化治疗和循证决策。本指南的制定旨在统一诊疗标准，提高临床决策水平，进一步提升便秘外科治疗的规范性与疗效。

Abstract:

Chronic constipation is a common functional bowel disorder that significantly impacts patients' quality of life and mental health. The Surgical Diagnosis and Treatment Guidelines for Constipation were first published in 2008 and revised in 2017, respectively, and have contributed to the growth of constipation surgery in China. With a deeper understanding of the underlying mechanisms and advancements in minimally invasive surgical techniques, the branch has again assembled multidisciplinary experts to enhance the diagnosis and treatment system. Based on the latest local and global evidence and utilizing the GRADE system to assess the quality of evidence and strength of recommendations, they have developed the Guidelines for Surgical treatment of constipation (2025 Edition). The new edition systematically updates information on causes, diagnostic methods, and non-surgical and surgical treatment options for constipation. It clearly defines surgical indications and principles for procedure selection, emphasizing personalized treatment and evidence-based decision-making. This guideline aims to standardize diagnosis and treatment, improve clinical decision-making, and promote consistency and effectiveness in surgical approaches for treating constipation.