Scott N A, Hughes L E
Department of Surgery, Clinical Sciences, Hope Hospital, Salford.
Gut. 1994 May;35(5):656-7. doi: 10.1136/gut.35.5.656.
Eighty patients were asked if they would have preferred their ileocolonic resection and anastomosis for Crohn's disease, to have been carried out sooner, later or at the same time as it was done. Seventy of the patients replied (88%). No patient would have preferred their operation to have been later, while 74% thought it should have been earlier. A preferred operation time was given for 69 resections, between 0 months--that is, at the same time--and 15 years earlier. The median preferred operation time was 12 months earlier (95% confidence intervals 18 months earlier to 7 months earlier). The remaining 18 patients were satisfied with the timing of their operation. Reasons given for earlier surgery in 58 resections included the severity of Crohn's symptoms preoperatively (97%), the ability to eat normally after resection (86%), feeling of well being after the resection (62%), and abolishing the need for drugs (43%). Patients preferring an earlier operation time were less likely to have had a previous resection (13/58) than patients in the 'same time' group (10/21, chi 2 = 4.746; p < 0.05).
80名患者被问及对于克罗恩病的回结肠切除吻合术，他们是希望手术能更早进行、更晚进行还是与实际手术时间相同。70名患者进行了回复（88%）。没有患者希望手术更晚进行，而74%的患者认为手术应该更早进行。69例切除术给出了期望的手术时间，范围从0个月（即同时进行）到提前15年。期望手术时间的中位数为提前12个月（95%置信区间为提前18个月至提前7个月）。其余18名患者对手术时间感到满意。58例切除术选择更早手术的原因包括术前克罗恩病症状的严重程度（97%）、切除术后能够正常饮食（86%）、切除术后的良好感觉（62%）以及不再需要用药（43%）。与“同时进行”组的患者（10/21）相比，希望更早手术的患者之前进行过切除术的可能性更小（13/58，卡方检验=4.746；p<0.05）。
