Dozois R R, Sielezneff I
Mayo Medical School, Mayo Clinic, Rochester, Minnesota, USA.
Ann Chir. 1995;49(7):628-36.
When surgical treatment is indicated in the course of ulcerative colitis, several operations may be performed. In the vast majority of patients, total proctocolectomy and ileal pouch-anal anastomosis is the procedure of choice. Other operations (total proctocolectomy with Brooke ileostomy, total colectomy with ileorectal anastomosis or with Kock pouch) can also be used in certain circumstances. Postoperative quality of life must be considered before any decision is finalized.
当溃疡性结肠炎病程中需要进行手术治疗时,可以实施多种手术。绝大多数患者首选全直肠结肠切除术和回肠贮袋肛管吻合术。在某些情况下也可采用其他手术(如带布鲁克回肠造口的全直肠结肠切除术、回直肠吻合术或带科克贮袋的全结肠切除术)。在最终确定任何决定之前,必须考虑术后生活质量。