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基于当前肛门保留策略的低位前切除术综合征的管理与再思考

[Management and re-thinking of low anterior resection syndrome based on present anal preservation strategy].

作者信息

Lou Z, Zhang W

机构信息

Department of Colorectal Surgery, Changhai Hospital, Navy Military Medical University, Shanghai 200433, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2019 Dec 25;22(12):1101-1104. doi: 10.3760/cma.j.issn.1671-0274.2019.12.001.

DOI:10.3760/cma.j.issn.1671-0274.2019.12.001
PMID:31874522
Abstract

Low anterior resection syndrome (LARS) is defined as a syndrome characterized by various abnormal defecation symptoms, including increased defecation times, urgency, frequent defecation, and fecal incontinence. LARS commonly develops after sphincter-preserving operation or reduction of protective ileostomy. The symptoms of LARS will alleviate gradually, and some patients may return to normal or basically normal. However, 60%-80% of the patients remains to suffer from LARS. Their daily life and psychosocial functionare seriously impaired. At present, the etiology of LARS is not well understood, but many factors are associated with LARS, such as tumor location, radiotherapy and surgical techniques and so on.

摘要

低位前切除术综合征(LARS)被定义为一种以各种异常排便症状为特征的综合征,包括排便次数增加、便急、频繁排便和大便失禁。LARS通常在保肛手术或保护性回肠造口还纳术后发生。LARS的症状会逐渐缓解,一些患者可能恢复正常或基本正常。然而,60%-80%的患者仍患有LARS。他们的日常生活和心理社会功能受到严重损害。目前,LARS的病因尚不完全清楚,但许多因素与LARS有关,如肿瘤位置、放疗和手术技术等。

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