| 张传硕,周丰宁,鲁明典,等.单中心克罗恩病外科手术治疗分析[J].安徽医药,2026,30(1):180-184. |
| 单中心克罗恩病外科手术治疗分析 |
| Crohn disease surgery:a single-center retrospective series analysis |
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| DOI：10.3969/j.issn.1009-6469.2026.01.036 |
| 中文关键词: 克罗恩病 结肠切除术 适应证 围手术期医护 预后 |
| 英文关键词: Corhn disease Colectomy Indication Perioperative care Prognosis |
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| 中文摘要: |
| 目的探讨克罗恩病( Corhn disease，CD)病人外科手术治疗的适应证、手术时机、手术方法及预后。方法以 2019年 1月至 2023年 2月在安徽医科大学第一附属医院行外科手术治疗的 CD病人作为研究对象，按照纳入及排除标准筛选后，共 56例纳入该研究。对其临床资料进行回顾性的总结分析。结果 56例病人中， 9例为急诊手术， 47例为择期手术； 41例行传统开腹手术， 15例行腹腔镜手术；具体术式包括回肠部分切除术 28例，回结肠部分切除术 15例，右半结肠切除术 5例，次全结肠切除术 4例，左半结肠切除术、结肠部分切除术、乙状结肠切除术和肠狭窄切开成形术各 1例，围术期无死亡病例； 9例病人出现术后并发症，占比 16.1%。术后病人继续规律内科治疗，大多数病人腹痛、腹泻症状得到不同程度的缓解，生活质量得到一定程度的提高。结论对于 CD病人，目前外科手术治疗仍是治疗其并发症最直接有效的方法，充分的术前准备，病变部位的精确定位，手术适应证、手术方式及时机的个体化把握，对手术疗效至关重要。 |
| 英文摘要: |
| Objective To investigate the indications, timing, methods, and prognosis of surgical treatment for patients with Crohn dis-ease (CD).Methods The 56 patients with CD who underwent surgical treatment at The First Affiliated Hospital of Anhui Medical Uni-versity from January 2019 to February 2023 were selected as the research subjects. Their clinical data were retrospectively summarizedand analyzed.Results In the 56 patients studied, 9 patients underwent emergency surgery, 47 patients had elective surgery, and 41patients underwent traditional open surgery, while 15 patients underwent laparoscopic surgery. The specific surgical procedures includ-ed 28 cases of segmental resection of the ileum, 15 cases of partial resection of the ileocolon, 5 cases of right hemicolectomy, 4 cases ofsubtotal colectomy, and 1 case of left hemicolectomy, partial colectomy, sigmoid colectomy, and bowel stricture dilation and incision, re-spectively.There were no deaths during the perioperative period. Among the patients, 9 developed postoperative complications, account-ing for 16.1%. After surgery, the patients continued to receive regular medical treatment, and most of them experienced varying degreesof alleviation of their abdominal pain and diarrhea symptoms, leading to a certain improvement in their quality of life. Conclusions For CD patients, surgical treatment remains the most direct and effective method to treat their complications. Adequate preoperativepreparation, precise localization of the lesion, individualized selection of surgical indications, surgical approaches, and timing are cru-cial for the efficacy of surgery. |
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