克罗恩病腹腔镜单腔小肠造口还纳术的治疗体会  

The therapeutic experience of laparoscopic end ileostomy reversal surgery for Crohn′s disease

作　　者：汪赓 姚潇 高金波[1] Wang Geng;Yao Xiao;Gao Jinbo(Department of Gastrointestinal Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院胃肠外科,武汉430022

出　　处：《中华炎性肠病杂志（中英文）》2024年第4期293-295,共3页Chinese Journal of Inflammatory Bowel Diseases

摘　　要：目的探讨克罗恩病(CD)患者行腹腔镜小肠单腔造口还纳手术的治疗效果。方法回顾性分析2017年1月至2023年3月华中科技大学同济医学院附属协和医院采用小肠单腔造口还纳术治疗的34例CD患者的临床资料。根据手术方式不同,将患者分为腹腔镜组和开腹组,比较两组患者的手术前后临床资料差异。结果21例患者接受腹腔镜手术(腹腔镜组),13例接受直接开放手术(开腹组)。两组患者术前一般情况差异均无统计学意义(均P>0.05)。与开腹组比较,腹腔镜组患者术后白蛋白水平更高[(36.66±3.09)g/L比(29.22±4.21)g/L,P<0.01],住院时间更短(8.9 d比12.7 d,P<0.01),差异均具有统计学意义。所有患者随访30 d,术后发生伤口感染7例。结论腹腔镜小肠单腔造口还纳手术治疗CD安全有效,值得临床推广。Objective To investigate the therapeutic effect of laparoscopic end ileostomy reversal surgery in patients with Crohn′s disease(CD).Methods A retrospective analysis was conducted.Clinical data of 34 CD patients treated with end ileostomy reversal surgery at the Union Hospital of Tongji Medical College,Huazhong University of Science and Technology from January 2017 to March 2023 were collected.Patients were divided into laparoscopic group and open group based on the surgical approach,and differences in clinical data before and after surgery between the two groups were compared.Results Twenty-one patients underwent laparoscopic surgery(laparoscopic group),and 13 underwent direct open surgery(open group).There were no statistical differences in the general clinical data of the patients before surgery between the two groups(all P>0.05).Compared with the open group,patients in the laparoscopic group had higher postoperative albumin levels[(36.66±3.09)g/L vs.(29.22±4.21)g/L,P<0.01],shorter hospital stays(8.9 d vs.12.7 d,P<0.01),and these differences were statistically significant.All of the patients were followed up for 30 days,postoperative wound infection occurred in 7 patients.Conclusion Laparoscopic end ileostomy reversal surgery for CD is safe and effective and is worth promoting in clinical practice.

关 键 词：克罗恩病 小肠造口还纳手术 腹腔镜手术 

分 类 号：R656.7[医药卫生—外科学]