基于“脾主升清”论治直肠癌术后低位前切除综合征的验案举隅  

Case Study on the Treatment of Low Anterior Resection Syndrome after Rectal Cancer Surgery Based on the Theory of “Spleen Dominates Ascending and Clearing”

作　　者：孙萍 赵梦蝶 王瑞 徐林 杨燕霏 姜毅 

机构地区：[1]云南中医药大学第一临床医学院,云南 昆明 [2]云南中医药大学第一附属医院肿瘤科,云南 昆明

出　　处：《临床医学进展》2024年第9期958-962,共5页Advances in Clinical Medicine

摘　　要：直肠癌是消化道常见的恶性肿瘤,发病率在逐年升高,目前以外科手术为主要治疗方式,术后会产生低位前切除综合征(LARS),严重影响患者的身心健康及生活质量,是一个不可忽视的临床难题。姜毅教授在长期的临床实践中观察到LARS患者大多以脾虚下陷为主,临床上常基于“脾主升清”理论,治以益气健脾、升阳举陷,能够有效缓解患者的临床症状,提高患者的生活质量,临床疗效显著。本文总结了姜毅教授治疗LARS的临床经验,为中医药治疗本病提供治疗思路。Rectal cancer is a common malignant tumor of the digestive tract, and its incidence is increasing year by year. At present, surgery is the main treatment mode, which will produce low anterior resection syndrome (LARS) after surgery, which seriously affects the physical and mental health and quality of life of patients. It is a clinical problem that cannot be ignored. In long-term clinical practice, Professor Jiang Yi observed that most LARS patients mainly suffer from spleen deficiency. Clinically, based on the theory of “spleen main rise clear”, they often treat qi and spleen and lift Yang lift subsidence, which can effectively relieve the clinical symptoms of patients, improve the quality of life of patients, and has remarkable clinical effects. This paper summarizes the clinical experience of Professor Jiang Yi in the treatment of LARS, and provides therapeutic ideas for the treatment of this disease.

关 键 词：直肠癌 脾主升清 低位前切除综合征 验案举隅 

分 类 号：R73[医药卫生—肿瘤]