关注低位前切除综合征的全程化管理与分阶梯治疗的实施  

Highlight and promotion of comprehensive management and stepwise treatment for low anterior resection syndrome

作　　者：叶颖江[1] Ye Yingjiang(Department of Gastrointestinal Surgery,Peking University People's Hospital,Laboratory of Surgical Oncology,Peking University People's Hospital,Beijing Key Laboratory of Colorectal Cancer Diagnosis and Treatment Research,Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院胃肠外科、北京大学人民医院外科肿瘤实验室、北京市结直肠癌诊疗研究重点实验室,北京100044

出　　处：《中华普通外科杂志》2025年第2期81-84,共4页Chinese Journal of General Surgery

摘　　要：随着直肠癌切除术后保肛率的提高, 低位前切除综合征(LARS)引起了越来越多的重视。LARS的预防和治疗策略在过去的十几年持续改进, 结直肠外科医师应重视LARS的术前-术中-术后的全程化管理, 术前充分评估保肛手术的风险和受益;术中进行神经功能保护, 改进肠道重建方式, 精准定位远端、近端切缘;术后按照肠功能恢复方案对LARS患者进行规范化分阶梯治疗。As the rate of sphincter-preserving surgery increases after proctectocy,low anterior resection syndrome(LARS)has gained increasing attention.The prevention and treatment strategies for LARS have continually improved over the past decade.Colorectal surgeons should focus on whole course management of LARS throughout the pre-,intra-and post-operative period.This includes through preoperative assessment of the risks and benefits of sphincter-preserving resections,intraoperative neurofunctional protection,improvements in bowel reconstruction techniques,and precise identification of distal and proximal margins.Postoperatively,LARS patients should receive standardized,stepwise treatment according to the bowel rehabilitation programme.

关 键 词：直肠肿瘤 综合征 保留肛门括约肌手术 肠道功能 

分 类 号：R735.37[医药卫生—肿瘤]