Rutegård J, Ahsgren L, Janunger K G
Department of Surgery, Ornsköldsvik Hospital, Sweden.
Acta Chir Scand. 1988 Mar;154(3):215-9.
125 patients with ulcerative colitis, considered to represent the unselected population of patients with this disease from a defined catchment area during the years from 1961 to 1983, were studied. The mortality from colitis was 5%, with no peroperative death after 1978. No prophylactic proctocolectomy was performed and there were no deaths in colorectal cancer. The cumulative operation frequency was 26%, and 37% in the subgroup of patients with total colitis. During the first 5 years of disease the operation frequency was 14%. It is concluded that, in a unselected population of patients with ulcerative colitis, satisfying results can be obtained at a community hospital, providing the surgical attitude to severe acute and disabling chronic disease is aggressive.
对125例溃疡性结肠炎患者进行了研究，这些患者被认为代表了1961年至1983年期间来自特定集水区的该疾病未经过筛选的患者群体。结肠炎的死亡率为5%，1978年后无围手术期死亡。未进行预防性全结肠直肠切除术，也没有结直肠癌死亡病例。累计手术频率为26%，全结肠炎患者亚组为37%。在疾病的前5年，手术频率为14%。得出的结论是，在未经过筛选的溃疡性结肠炎患者群体中，在社区医院可以获得满意的结果，前提是对严重急性和致残性慢性疾病的手术态度积极。
