Sasaki I, Funayama Y, Naito H, Toda M, Sato T
Jpn J Surg. 1986 Jan;16(1):22-8. doi: 10.1007/BF02471065.
From 1961 to 1984, fifty-one patients with ulcerative colitis were surgically treated at Tohoku University Hospital. The results of various types of surgical treatments for ulcerative colitis were analysed and discussed with special reference to recurrence and the quality of life at the time of follow-up. Total colitis and left-sided colitis were observed in 42 and 9 patients, respectively. There were five operative deaths. Thirteen patients received total proctocolectomy and 38 patients received various types of conservative operations at the first operation. In seven patients there was a recurrence of the disease in the retained colon or rectum and proctocolectomy with ileostomy was carried out. Forty-six patients were followed. Four died of other diseases and two were lost to follow-up. The periods of follow-up after the final operation ranged from 3-29 years. The types of operative procedures were ileostomy in 19, ascendicostomy in 14, ileoproctostomy in 6 and ascendicoproctostomy in 1 patient. Following treatment of recurrence of the disease, in most patients who had undergone various surgical treatments, favorable results of quality of life were attained, even in those with ileostomy. These results indicate that it is important to select the most proper types of operative procedures for surgical treatment of ulcerative colitis by individualizing each case.
1961年至1984年期间，51例溃疡性结肠炎患者在东北大学医院接受了手术治疗。对溃疡性结肠炎各种手术治疗的结果进行了分析和讨论，特别提及复发情况和随访时的生活质量。全结肠炎和左侧结肠炎患者分别为42例和9例。有5例手术死亡。13例患者首次手术时接受了全直肠结肠切除术，38例患者接受了各种类型的保守手术。7例患者保留的结肠或直肠出现疾病复发，遂行全直肠结肠切除术并造瘘。46例患者接受了随访。4例死于其他疾病，2例失访。最后一次手术后的随访时间为3至29年。手术方式包括回肠造瘘术19例、升结肠造瘘术14例、回肠直肠吻合术6例、升结肠直肠吻合术1例。在疾病复发得到治疗后，大多数接受了各种手术治疗的患者，即使是那些接受回肠造瘘术的患者，生活质量也取得了良好的结果。这些结果表明，针对溃疡性结肠炎的手术治疗，根据每个病例的具体情况选择最恰当的手术方式非常重要。
