择期结直肠手术前机械性肠道准备的研究进展  

Research progression on preoperative mechanical bowel preparation for elective colorectal surgery

作　　者：邹镇洪[1] 赵丽瑛[1] 吴佳明[1] 陈豪[1] 李国新[1] 

机构地区：[1]南方医科大学南方医院普通外科,广州510515

出　　处：《中华胃肠外科杂志》2015年第6期628-630,共3页Chinese Journal of Gastrointestinal Surgery

摘　　要：自20世纪50年代开始，大多数外科中心已经将机械性肠道准备（MBP）列为择期结直肠手术前的标准操作。而随着近20年来评价MBP研究的陆续开展，择期结直肠手术前是否需常规行MBP也存在较多争论。本文通过综述国内外现有的证据表明，对于择期开腹的结直肠手术建议术前常规弃置MBP；对于择期腹腔镜直肠手术建议术前常规行MBP；而对于择期腹腔镜结肠手术术前是否需常规行MBP尚存有争议，有待更多大样本随机对照研究的论证。Preoperative mechanical bowel preparation （MBP） has been established as a standard procedure for elective colorectal surgery in most surgical centers since 1950s. However, the routine use of MBP for elective colorectal surgery is still in debate , as the researches on the evaluation of MBP have been carried out in recent 20 years. By searching and analyzing the existing evidence , we conclude that MBP should be routinely abandoned for elective open colorectal surgery, but should be routinely used for elective laparoscopic rectal surgery , and it still awaits large-scale RCTs for further evaluation of MBP for elective laparoscopic colonic surgery.

关 键 词：结直肠手术 术前 机械性肠道准备 

分 类 号：R656[医药卫生—外科学]