CAJ | 학술논문

损伤控制外科理念已经深入人心,被广泛用以指导复杂外科病人的治疗.需要外科治疗的克罗恩病患者往往病情严重,手术风险大,但损伤控制外科理念还没有受到足够的重视.克罗恩病手术治疗的主要目的是控制症状,在全身状况不允许时不需要进行较大的手术,采用损伤控制外科理念指导手术治疗可以在一定程度上降低治疗风险,提高临床疗效.本文重点讨论克罗恩病外科治疗中损伤控制的必要性与合理性,以及损伤控制的目标及方法.
손상공제외과이념이경심입인심,피엄범용이지도복잡외과병인적치료.수요외과치료적극라은병환자왕왕병정엄중,수술풍험대,단손상공제외과이념환몰유수도족구적중시.극라은병수술치료적주요목적시공제증상,재전신상황불윤허시불수요진행교대적수술,채용손상공제외과이념지도수술치료가이재일정정도상강저치료풍험,제고림상료효.본문중점토론극라은병외과치료중손상공제적필요성여합이성,이급손상공제적목표급방법.
Damage control surgery (DCS) has been widely used in the management of surgical patients.Crohn disease (CD) patients requiring surgery are usually severe and associated with high surgical risk,while the concept of DCS has not gained adequate attention in surgery for CD.Surgery is indicated in patients with CD to control symptoms,therefore major surgery should not be performed when the general health of the patients is not satisfactory.Use of DCS to guide surgery can reduce risk of treatment and improve clinical outcome The review is to discuss the necessity,objective,and methods of damage control surgery in the surgical treatment of Crohn disease.