CAJ | 학술논문

目的：观察腹腔镜下全结直肠切除术治疗溃疡性结肠炎的临床治疗效果。方法对采用腹腔镜下全结直肠切除术治疗的22例溃疡性结直肠炎患者的临床资料进行回顾性分析。结果该组22例患者均顺利完成手术，术中无转开腹病例或死亡病例；术后1～2 d即可下地活动，住院时间（12．5±2．8） d；无腹腔出血、肠粘连、吻合口瘘、盆腔感染等并发症发生，1例造瘘口早期感染，经换药和抗感染治疗好转。全部患者皆获随访，日常生活均可自理，痊愈后均恢复正常工作。结论腹腔镜下全结直肠切除术治疗溃疡性结肠炎近期手术效果良好，是一种安全可行的微创术式。
목적：관찰복강경하전결직장절제술치료궤양성결장염적림상치료효과。방법대채용복강경하전결직장절제술치료적22례궤양성결직장염환자적림상자료진행회고성분석。결과해조22례환자균순리완성수술，술중무전개복병례혹사망병례；술후1～2 d즉가하지활동，주원시간（12．5±2．8） d；무복강출혈、장점련、문합구루、분강감염등병발증발생，1례조루구조기감염，경환약화항감염치료호전。전부환자개획수방，일상생활균가자리，전유후균회복정상공작。결론복강경하전결직장절제술치료궤양성결장염근기수술효과량호，시일충안전가행적미창술식。
Objective To explore clinical effect of laparoscopic colorectal resection treatment of ulcerative colitis.Methods The total laparoscopic colorectal resection in the treatment of 22 cases of ulcerative colitis were ret-rospectively reviewed the clinical data analysis .Results 22 patients were successfully operated , no conversion to open surgery cases or deaths;after 1 to 2 days to ambulation,length of hospital stay (12.5 ±2.8)d;without abdominal bleeding ,adhesions ,anastomotic leakage ,pelvic infections and other complications ,one case stoma early infection ,and anti-infective therapy by dressing better .All patients had been followed up ,daily life could take care of themselves , were to resume normal work after recovery .Conclusion Laparoscopic colorectal resection full UC recent surgery works well ,which is a safe and feasible minimally invasive surgical procedures .