外科手术是顽固性便秘非手术治疗失败后的最后手段，目前国内接受外科治疗的便秘病人中，混合型便秘发生率为56.3%~90.2%，但临床医生对这一混合症候群尚未引起足够重视，且没有治疗混合型便秘的统一标准术式。南京军区南京总医院普通外科开展的金陵术式同时针对结肠慢传输和出口梗阻两方面病理生理改变进行重建，获得较好的临床效果。

Application and evaluation of Jinling procedure in the treatment of refractory mixed constipation        JIANG Jun. Department of General Surgery, Nanjing General Hospital of Nanjing Military Command, Affiliated Jinling Hospital of Nanjing University School of Medicine, Nanjing 210002,China
Abstract    Surgery is indicated for refractory constipation when medical therapy failed. Among patients receiving surgical interventions, the mixed constipation accounts for 56.3%—90.2% approximately. While the special type of constipation is undetermined, no standard surgery has been reported. Jinling procedure developed by Department of General Surgery, Nanjing General Hospital of Nanjing Military Command can solve the coexistence of obstructive defecation and slow-transit constipation in one operation and get better clinical outcome.