Belliveau P
Department of Surgery, Royal Victoria Hospital, Montreal, PQ.
Can J Surg. 1987 Sep;30(5):356-7.
Several options can be considered when medical management of ulcerative colitis fails or if a serious complication develops. One alternative to proctocolectomy with ileostomy or ileoanal pull-through is the ileorectal anastomosis. Its main advantage is preservation of the rectal reservoir without risking injury to the pelvic nerves or and sphincter. It is not indicated when the rectum is severely diseased or stenosed or in the presence of rectal carcinoma. Patients older than 55 to 60 years can expect a good functional result in a relatively short time compared with the prolonged adaptation period associated with pull-through procedures.
当溃疡性结肠炎的药物治疗失败或出现严重并发症时，可以考虑几种选择。回直肠吻合术是全结肠直肠切除加回肠造口术或回肠肛管拖出术的一种替代方案。其主要优点是保留直肠贮袋，而不会有损伤盆腔神经或括约肌的风险。当直肠严重病变、狭窄或存在直肠癌时，不适用该手术。与拖出术相关的较长适应期相比，55至60岁以上的患者在相对较短的时间内可以获得良好的功能结果。
