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炎症性肠病患者术后直肠残端管理

Management of the rectal stump after subtotal colectomy for patients with inflammatory bowel disease
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摘要 炎症性肠病尚无法治愈,患者需终生面临手术治疗可能性。直肠残端管理在溃疡性结肠炎患者结肠切除术后的疾病预后、治疗及随访监测具有重要意义,需要消化内科、胃肠外科及辅助生殖科室相互协作,综合评估疾病活动度及预后、直肠残端恶性病变发生风险、直肠残端炎、泌尿系统功能、性功能等多方面因素后方可制定患者个体化最优直肠残端管理方案。 Inflammatory bowel disease(IBD)is still not fully cured by medication or surgery.Patients with IBD face the possibility of surgery for whole lifetime.The management of the rectal stump after subtotal colectomy for patients with IBD is of great importance in prognosis,treatment,and monitoring of disease.The most appropriately individual treatment plan is developed based on multidisciplinary cooperation involving gastroenterology,colorectal surgery and reproduction to make comprehensive assessment of disease activity and prognosis,risks of neoplasia in the rectal stump proctitis,urinary function and sexual function.
作者 何欢 杨柏霖 郅敏 He Huan;Yang Bailin;Zhi Min(Department of Gastroenterology,Guangzhou First People′s Hospital,School of Medicine,South China University of Technology,Guangzhou 510180,China;Department of Gastroenterology,The Sixth Affiliated Hospital,Sun Yat-sen University,Guangzhou 510655,China;Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases,Guangzhou 510655,China;Department of Rectum Surgery,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210000,China)
出处 《中华炎性肠病杂志(中英文)》 2020年第2期158-160,共3页 Chinese Journal of Inflammatory Bowel Diseases
基金 国家自然科学基金(81670477,91942303) 中山大学临床医学研究5010计划项目(2014008) 广东省结直肠盆底疾病研究重点实验室—开放课题(2017B030314118)。
关键词 炎症性肠病 直肠残端 多学科联合诊治 Inflammatory bowel diseases Rectal stump Multidisciplinary treatment
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