中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2014年
8期
591-595
,共5页
炎症性肠病%外科治疗%策略
炎癥性腸病%外科治療%策略
염증성장병%외과치료%책략
Inflammatory bowel disease%Surgical treatment%Strategy
外科治疗是炎症性肠病(IBD)出现肠道并发症或内科治疗失败时的重要手段,而选择合适的手术时机能减少术后并发症,是决定治疗成功与否的关键.过度强调药物治疗、在无效的情况下仍一味延长其疗程,将使患者失去最佳手术时机.同时外科医师需要掌握好IBD急诊手术与择期手术的不同技巧.在多学科合作治疗模式下,各专科医师明确手术的必要性后,应积极调整术前药物治疗、改善患者营养状态,为IBD患者外科治疗争取最佳的生理功能储备,做好围手术期处理.
外科治療是炎癥性腸病(IBD)齣現腸道併髮癥或內科治療失敗時的重要手段,而選擇閤適的手術時機能減少術後併髮癥,是決定治療成功與否的關鍵.過度彊調藥物治療、在無效的情況下仍一味延長其療程,將使患者失去最佳手術時機.同時外科醫師需要掌握好IBD急診手術與擇期手術的不同技巧.在多學科閤作治療模式下,各專科醫師明確手術的必要性後,應積極調整術前藥物治療、改善患者營養狀態,為IBD患者外科治療爭取最佳的生理功能儲備,做好圍手術期處理.
외과치료시염증성장병(IBD)출현장도병발증혹내과치료실패시적중요수단,이선택합괄적수술시궤능감소술후병발증,시결정치료성공여부적관건.과도강조약물치료、재무효적정황하잉일미연장기료정,장사환자실거최가수술시궤.동시외과의사수요장악호IBD급진수술여택기수술적불동기교.재다학과합작치료모식하,각전과의사명학수술적필요성후,응적겁조정술전약물치료、개선환자영양상태,위IBD환자외과치료쟁취최가적생리공능저비,주호위수술기처리.
Surgical treatment is an important method for the treatment of inflammatory bowel disease (IBD) when it is complicated with other intestinal diseases or medical treatment fails.The appropriate timing of surgery can reduce the incidence of postoperative complications and is the key factor for the success of treatment.Excessive emphasis on medication and blindly extending the course of medication in case of invalidation will make patients lose the best opportunity of surgery.Surgeons should master different surgical techniques of acute and selective surgeries for IBD.Multi-disciplinary treatment mode is recommended.Adjustment of the preoperative medication,improvement of the nutritional status and the overall condition of the patients are necessary when surgery is unavoidable.
