准确把握克罗恩病手术指征

Critical appraisal of surgical indications for Crohn's disease

克罗恩病虽然是内科病,但在其病程中经常需要外科治疗。与其他外科疾病不同的是,克罗恩病的手术指征往往也是其手术的风险因素。因此,在手术前需要进行充分的围手术期处理。同时,应高度重视多学科团队在克罗恩病治疗过程中的作用,准确把握内科治疗和外科治疗的指征。在选择外科治疗方式时,强调以最小的创伤和风险解除症状,尤其对急诊手术者,应采用损伤控制外科理念指导临床治疗。

Critical appraisal of surgical indications for Crohn＇s disease ZHU Wei-ming. Nanjing General Hospital of Nanjing Military Command PLA, Nanjing 210002, China Abstract Crohn＇s disease （CD） is an inflammatory bowel disease which is treated mainly by drugs, but the indications of surgery become demanding as the course of the disease prolonged. CD patients often bear risk factors when surgery is indicated because of prolonged disease course, and multidisciplinary team with gastroenterologist, surgeon and endoscopist is essential to ensure adequate assumption of treatment measures. When surgical measure is chosen, minimal invasiveness and damage control are the rule.