引用本文:万松林,陈文豪,丁 召.克罗恩病外科治疗围手术期中的抉择[J].中国临床新医学,2022,15(7):600-603.
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克罗恩病外科治疗围手术期中的抉择
万松林,陈文豪,丁 召
430071 武汉,武汉大学中南医院结直肠肛门外科,湖北省肠病医学临床研究中心,肠病湖北省重点实验室(武汉大学),武汉大学中南医院炎症性肠病外科诊疗中心
摘要:
[摘要] 克罗恩病(CD)是一种可累及整个消化道同时也可并存消化道外病变的炎症性疾病。CD的发病率和患病率在我国逐渐升高。虽然这类疾病以内科治疗为主,但当CD发展为并发症或者内科治疗效果不佳时需外科治疗。如何帮助患者平稳度过围手术期为外科医师所关注。该文结合文献和笔者单位的经验,从CD患者的整体因素和局部因素探讨围手术期的关注点。
关键词:  克罗恩病  手术  围手术期  并发症
DOI:10.3969/j.issn.1674-3806.2022.07.07
分类号:
基金项目:湖北省卫生健康委医学科技创新平台资助项目(编号:PTXM2020011)
Perioperative choices in surgical treatment of Crohn′s disease
WAN Song-lin, CHEN Wen-hao, DING Zhao
Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Clinical Center of Intestinal and Colorectal Diseases of Hubei Province, Hubei Key Laboratory of Intestinal and Colorectal Diseases(Wuhan University), Surgical Center of Diagnosis and Treatment of Inflammatory Bowel Disease, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
Abstract:
[Abstract] Crohn′s disease(CD) is an inflammatory disease involving both the entire digestive tract and lesions coexisting outside the digestive tract. The incidence and prevalence of CD are increasing in China. Although this kind of disease is mainly treated with internal medicine, surgical treatment is required when CD develops into a complication or the medical treatment is not effective. How to help the patients survive the perioperative period smoothly is the concern of the surgeons. Based on the literature and the authors′ experience, this paper discusses the perioperative concerns in terms of the overall and local factors of CD patients.
Key words:  Crohn′s disease(CD)  Surgery  Perioperative period  Complications