Keighley M R, Winslet M C, Pringle W, Allan R N
General Hospital, Birmingham.
Br J Hosp Med. 1987 Oct;38(4):286-94.
Restorative proctocolectomy has become a realistic alternative to construction of a permanent stoma for patients with ulcerative colitis and familial polyposis coli. The operation restores intestinal continuity but continent patients have to open their bowels 4-5 times during the day, and over half have to rise at night to defaecate. The potential complications are considerable, but their frequency decreases with experience with the operation. This article reviews the place and results of ileoanal pouch anastomosis.
对于溃疡性结肠炎和家族性结肠息肉病患者,保留肛门的直肠结肠切除术已成为永久性造口术的一种切实可行的替代方案。该手术恢复了肠道的连续性,但自控性排便的患者每天必须排便4至5次,超过半数的患者夜间还需起床排便。潜在并发症相当多,但随着手术经验的积累,其发生率会降低。本文综述了回肠肛管吻合术的地位及效果。