重症溃疡性肠炎的手术时机

Operation timing of severe ulcerative colitis

重症溃疡性结肠炎病情危重，盲目依赖药物治疗可能导致延误手术时机，增加重症溃疡性结肠炎的病死率和术后并发症发生率。降低重症溃疡性结肠炎病死率及术后并发症发生率的关键在于把握好手术时机，在药物治疗的过程中及时评估患者的临床疗效，结合患者病情、临床症状、血液学检查、影像学检查及内镜检查等指标综合判断手术时机。

Acute severe ulcerative colitis （ASUC） is a potentially life-threatening condition. Inappropriate salvage therapy might delay the surgery and increase the mortality and postopera- tive complications in ulcerative colitis （UC）. Timely surgical intervention for UC is the key to reduce the rate of mortality and postoperative complications via evaluating the effect of therapy combining with characters of patients＇ history, clinical symp- toms, biochemical markers, radiological and endoscopic criteria.