目的 探讨双吻合器法回肠储袋肛管吻合治疗溃疡性结肠炎的临床疗效。
方法 回顾性分析采用双吻合器法回肠储袋肛管吻合治疗11例溃疡性结肠炎患者的临床资料。
结果 手术时间(4.5±1.7)h(2.5~6.0h), 出血量(470±120)ml (200~800ml),住院时间(16±5.9) d (14~27d)。所有患者均获随访,随访时间为(31.3±5.7)个月(6~42个月)。 随访期内肛门功能恢复满意;主要并发症包括切口相关并发症5例,腹痛伴间断便血4例,储袋炎4例,肠梗阻3例,吻合口漏1例。
结论 双吻合法回肠储袋肛管吻合是治疗溃疡性结肠炎的有效手段,合理选择手术时机及方式可有效降低术后并发症的发生。
Citation:
王墨飞,李春雨,许广大,邹素云,张德巍. The Double-Stapled Ileal Pouch-Anal Anastomosis in Treatment of Ulcerative Colitis( Reports of 11 Cases). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(4): 435-436. doi:
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Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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林谋斌, 尹路, 陈桂明, 等. 吻合器法改进回肠储袋肛管吻合术22 例 [J]. 中华胃肠外科杂志, 2006, 9(6):542-543.
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Magro F, Lopes S, Rodrigues S, et al. How to manage pouchitis in ulcerative colitis? [J]. Curr Drug Targets, 2011, 12(10):1454-1461.
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韩方海, 张肇达, 伍晓汀, 等. 支撑捆扎法回肠Pouch-直肠肌鞘内肛管一期吻合术 [J]. 中国普外基础与临床杂志, 2003,10(1):60-61..
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许宝琨, 张卫, 余光荣. 回肠J 型储袋癌变的诊断与手术治疗策略 [J]. 中华胃肠外科杂志, 2008, 11(5):507-508..
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Cohen JL, Strong SA, Hyman NH, et al. Practice parameters for the surgical treatment of ulcerative colitis [J]. Dis Colon Rectum,2005, 48(11):1997-2009..
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- 1. Baumgart DC, Bernstein CN, Abbas Z, et al. IBD around the world:comparing the epidemiology, diagnosis,and treatment:proceedings of the World Digestive Health Day 2010—Inflammatory Bowel Disease Task Force meeting [J]. Inflamm Bowel Dis, 2011, 17(2):639-644.
- 2. Ikeuchi H, Uchino M, Matsuoka H, et al. Surgery for ulcerative colitis in 1 000 patients [J]. Int J Colorectal Dis,2010,25(8):959-965.
- 3. 田超, 李立. 溃疡性结肠炎的外科治疗 [J]. 中国普外基础与临床杂志, 2007, 14(1):110-113.
- 4. 林谋斌, 尹路, 陈桂明, 等. 吻合器法改进回肠储袋肛管吻合术22 例 [J]. 中华胃肠外科杂志, 2006, 9(6):542-543.
- 5. 韩洪秋, 刘刚, 刘彤, 等. 全结直肠切除回肠贮袋肛管吻合手术治疗溃疡性结肠炎的临床评价 [J]. 中华医学杂志, 2011,91(45):3205-3209.
- 6. Jota G, Karadzov Z, Panovski M, et al. Functional outcome and quality of life after restorative proctocolectomy and ileal pouchanal anastomosis [J]. Prilozi, 2011, 32(2):221-230.
- 7. Cima RR. Timing and indications for colectomy in chronic ulcerative colitis:surgical consideration [J]. Dig Dis, 2010, 28(3):501-507..
- 8. Uchino M, Ikeuchi H, Matsuoka H, et al. Risk factors associated with surgical site infection after ileal pouch-anal anastomosis in ulcerative colitis [J]. Dis Colon Rectum, 2010, 53(2):143-149..
- 9. Kirat HT, Kiran RP, Remzi FH, et al. Diagnosis and management of afferent limb syndrome in patients with ileal pouch-anal anastomosis [J]. Inflamm Bowel Dis, 2011, 17(6):1287-1290.
- 10. Kirat HT, Kiran RP, Oncel M, et al. Management of leak from the tip of the“ J” in ileal pouch-anal anastomosis[ J]. Dis Colon Rectum, 2011,54(4):454-459..
- 11. Heikens JT, de Vries J, van Laarhoven CJ. Quality of life,health related quality of life and health status in patients having restorative proctocolectomy with ileal pouch-anal anastomosis for ulcerative colitis: a systematic review [J]. Colorectal Dis,2010, 22. doi:10.1111/j. 1463-1318. 2010. 02538. x..
- 12. Magro F, Lopes S, Rodrigues S, et al. How to manage pouchitis in ulcerative colitis? [J]. Curr Drug Targets, 2011, 12(10):1454-1461.
- 13. 韩方海, 张肇达, 伍晓汀, 等. 支撑捆扎法回肠Pouch-直肠肌鞘内肛管一期吻合术 [J]. 中国普外基础与临床杂志, 2003,10(1):60-61..
- 14. 许宝琨, 张卫, 余光荣. 回肠J 型储袋癌变的诊断与手术治疗策略 [J]. 中华胃肠外科杂志, 2008, 11(5):507-508..
- 15. Cohen JL, Strong SA, Hyman NH, et al. Practice parameters for the surgical treatment of ulcerative colitis [J]. Dis Colon Rectum,2005, 48(11):1997-2009..