全结直肠切除回肠储袋肛管吻合术后封套炎的诊断及治疗
被引量:1
摘要
溃疡性结肠炎(UC)是发生于结肠和直肠黏膜及黏膜下组织的弥漫性炎性疾病,发病高峰年龄为20~49岁,临床表现为持续或反复发作的腹泻腹痛、黏液脓血便、里急后重及不同程度的全身症状.病程多在4-6周以上。尽管大多数UC患者通过内科治疗后病情能够得到有效控制,但最终仍有20%左右的患者需要手术治疗。UC的手术治疗以切除结直肠病变靶器官为目的。同时尽可能提高患者术后生活质量。
出处
《中华胃肠外科杂志》
CAS
CSCD
北大核心
2015年第11期1171-1173,共3页
Chinese Journal of Gastrointestinal Surgery
参考文献23
-
1Mowat C, Cole A, Windsor A, et al. Guidelines for themanagement of inflammatory bowel disease in adults [J]. Gut,2011(60:571-607.
-
2崔龙.重视外科手术在我国溃疡性结肠炎治疗中的作用[J].中华胃肠外科杂志,2013,16(4):319-322. 被引量:5
-
3兰平,练磊.溃疡性结肠炎的手术治疗[J].中华胃肠外科杂志,2011,14(3):159-161. 被引量:16
-
40resland T, Bemelman W, Sampietro G, et al. Europeanevidence based consensus on surgery for ulcerative colitis [J]. JCrohns Colitis, 2015,9:4-25.
-
5Ziv Y, Fazio VW, Sirimarco MT,et al. Incidence, riskfactors, and treatment of dysplasia in the anal transitional zoneafter ileal pouch-anal anastomosis [J]. Dis Colon Rectum,1994,37:1281-1285.
-
6Ross H, Steele SR, Varma M,et al. Practice Parameters forthe Surgical Treatment of Ulcerative Colitis [J]. DisColonRectum, 2014,57:5-22.
-
7Thompson-Fawcett MW, Morlensen NJ, Waxren BF. “Cuffitis”and inflammatory changes in the columnar cuff, analtransitional zone, and ileal reservoir after stapled pouch-analanastomosis[J]. Dis Colon Rectum, 1999,42:348-355.
-
8Thompson-Fawcett MW, Warren BF, Mortensen NJ. A newlook at the anal transitional zone with reference to restorativeproctocolectomy and the columnar cuff[J]. Br J Surg, 1998,85:1517-1521.
-
9Wu B, Lian L,Li Y, et al. Clinical course of cuffitis inulcerative colitis patients with restorative proctocolectomy andilealpouch-anal anastomoses [J]. Inflamm Bowel Dis, 2013,19:404-410.
-
10Shen B, Lashner BA, Bennett AE, et al. Treatment of rectalcuff inflammation (cuffitis) in patients with ulcerative colitisfollowing restorative proctocolectomy and ilealpouch-analanastomosis[j]. Am J Gastroenterol, 2004,99: 1527-1531.
二级参考文献56
-
1中国炎症性肠病协作组,王玉芳,欧阳钦.3100例溃疡性结肠炎住院病例回顾分析[J].中华消化杂志,2006,26(6):368-372. 被引量:267
-
2Eaden JA, Abrams KR, Mayberry JF. The risk of colorectal cancer in ulcerative colitis: a recta-analysis. Gut, 2001,48 (4) : 526- 535.
-
3Odze RD, Farraye FA, Hecht JL, et al. Long-term follow-up after polypectomy treatment for adenoma-like dysplastic lesions in ulcerative colitis. Clin Gastroenterol Hepatol, 2004,2 (7) : 534- 541.
-
4Alves A, Panis Y, Bouhnik Y, et al. Subtotal colectomy for severe acute colitis: a 20-year experience of a tertiary care center with an aggressive and arly surgical policy. J Am Coil Surg, 2003,197(3) :379-385.
-
5Hyman NH, Cataldo P, Osier T. Urgent subtotal colectomy for severe infammatory bowel disease. Dis Colon Rectum, 2005, 48(1) :70-73.
-
6Lepisto AH, Jarvinen HJ. Durability of Kock continent ileostomy. Dis Colon Rectum. 2003.46(7) : 925-928.
-
7Delaney CP, Fazio VW, Remzi FH, et al. Prospective, age-related analysis of surgical results, functional outcome, and quality of life after ileal pouchanal anastomosis. Ann Surg, 2003,238 (2) : 221-228.
-
8Shah NS, Remzi F, Massmann A, et al. Management and treatment outcome of pouch-vaginal fistulas following restorative proctocolectomy. Dis Colon Rectum, 2003,46 (7) : 911-917.
-
9Remzi FH, Fazio VW, Gorgun E, et al. The outcome after restorative proctocolectomy with or without defunctioning ileostomy. Dis Colon Rectum, 2006,49(4):470-477.
-
10Habal FM, Kapila V. inflammatory bowel disease and pregnancy: evidence, uncertainty and patient decision-making. Can J Gastroenterol, 2009,23 ( 1 ) : 49-53.
共引文献20
-
1刘威,曹倩,周伟.溃疡性结肠炎的手术时机及预后[J].中华炎性肠病杂志(中英文),2017,1(2):123-125. 被引量:4
-
2陆安清,杨小玲,李卡,蒋理立,王自强.42例腹腔镜全结直肠切除回肠储袋肛管吻合术患者的护理[J].中华护理杂志,2011,46(10):960-962. 被引量:6
-
3兰平,何晓生.炎症性肠病肠切除术后消化道重建应注意的问题[J].中国实用外科杂志,2012,32(8):672-674. 被引量:4
-
4苗景玉.手术治疗溃疡性结肠炎的临床分析[J].中国药物经济学,2013,8(3):136-137. 被引量:1
-
5杨福娜,韩洪秋,刘刚,胡芳.难治性溃疡性结肠炎外科治疗对患者生活质量的影响研究[J].中国全科医学,2013,16(34):4058-4061. 被引量:3
-
6李岗,游柳平,李胜龙,刘家麒,黄跃南.回肠远段环形贮袋的临床应用[J].疑难病杂志,2014,13(2):175-176. 被引量:1
-
7樊鹏,王荣华.溃疡性结肠炎的外科治疗进展[J].中国医药科学,2014,4(8):26-29. 被引量:4
-
8陈志冰,陈英云.重症溃疡性结肠炎手术治疗观察[J].现代诊断与治疗,2014,25(5):1070-1071. 被引量:1
-
9薛军,韩洪秋,胡芳,唐万斌.难治性溃疡性结肠炎患者术前食物不耐受情况及相关因素分析[J].黑龙江医学,2015,39(1):19-21. 被引量:2
-
10田玲玲,刘丽娜.溃疡性结肠炎治疗的现代观点[J].世界华人消化杂志,2016,24(7):1054-1063. 被引量:13
二级引证文献4
-
1殷绪胜,梁榆明,覃健,袁杰,黄海,宣泽良,庞辉,李胜龙,李帅军.白头翁汤加减联合柳氮磺吡啶结肠溶胶囊治疗溃疡性结肠炎临床疗效观察[J].四川中医,2022,40(9):113-116. 被引量:4
-
2蔡泽荣,黄旭明,宋振,陈钰锋,柯嘉,吴现瑞,练磊,兰平,吴小剑.全结直肠切除联合回肠储袋肛管吻合术治疗溃疡性结肠炎的安全性与功能评价[J].中华炎性肠病杂志(中英文),2019,3(4):326-330. 被引量:4
-
3骆洋,俞旻皓,陈建军,秦骏,黄轶洲,钟鸣.腹腔镜与开腹全结直肠切除回肠储袋肛管吻合术治疗溃疡性结肠炎的临床疗效分析[J].中华消化外科杂志,2018,17(9):929-934. 被引量:22
-
4郑月萍,郑泽宇,吴碧芳,谢韵,刘婕,苏瑞章,万曼,田钊旭,胡益群.溃疡性结肠炎手术高危因素分析[J].胃肠病学,2020,25(12):754-758. 被引量:1
-
1陶凯雄,帅晓明.腹腔镜全结直肠切除术的临床应用[J].中华胃肠外科杂志,2012,15(8):793-795. 被引量:3
-
2覃谦,李洪,熊秋华,李君久,王力斌,唐世龙.下段直肠癌保肛术两种不同吻合方法的疗效探讨[J].中华普通外科杂志,2007,22(6):474-475.
-
3王力,毛岳峰.腹腔镜辅助全结直肠切除术12例疗效分析[J].中国肛肠病杂志,2016,0(6):7-9.
-
4曾翔辉,刘羽,苏晋捷.家族性结肠息肉病46例[J].广东医学,2013,34(3):416-417. 被引量:1
-
5柴凤娟,李修杰,董杰.107例大肠癌的内镜及临床分析[J].中国医学创新,2009,6(19):57-58.
-
6粟建芳.40例青年人大肠癌的临床特征分析[J].医学临床研究,2008,25(9):1683-1684.
-
7杨峰,马殿威.一家族中结肠息肉病3例并2例癌变报告[J].丹东医药,2006(2):28-28.
-
8陆志良,白希永,臧春霞,刘伟,韩国达.全结直肠切除回肠拖出肛管吻合术14例[J].中国肿瘤临床,2008,35(15):862-863. 被引量:3
-
9周文广,凌宝存.诊治结肠直肠双源癌患者一例[J].中外女性健康,2012,20(12X):107-107.
-
10张常华.家族性息肉病的外科治疗(文献综述)[J].国外医学(外科学分册),2002,29(3):160-163. 被引量:15