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基于低位前切除综合征的症状分型管理及康复现状OA

Management and rehabilitation based on symptom classification in low anterior resection syndrome:current perspectives

中文摘要英文摘要

低位前切除综合征是直肠癌保肛根治术后最常见的并发症,严重影响患者术后生活质量.既往认为低位前切除综合征是一过性的不良事件,然而其对患者生理及心理影响是长期的.目前对于低位前切除综合征的诊疗,临床缺乏标准策略,使其成为提高直肠癌诊疗质量的重大挑战.近年来数据显示基于低位前切除综合征患者症状分型管理及康复成为主流意见,文章就这一专题内容展开述评.

Low anterior resection syndrome(LARS)represents the most frequent complication following sphincter-preserving radical surgery for rectal cancer,substantially compromising patients'postoperative quality of life.While historically considered a transient adverse outcome,LARS is now recognized to exert prolonged physiological and psychological impacts.Currently,standardized clinical strategies for its diagnosis and management remain lacking,posing a major challenge to improving overall rectal cancer care.Recent data suggest that symptom-based classification and tailored rehabilitation have emerged as predominant approaches in LARS management.This review aims to provide a commentary on this evolving paradigm.

陆立;魏波

中山大学附属第六医院结直肠肛门外科,广东 广州 510510中山大学附属第三医院胃肠外科,广东 广州 510630

直肠癌低位前切除综合征生活质量分型康复病因研究

Rectal cancerLow anterior resection syndromeQuality of lifeClassification-based rehabilitationEtiology research

《新医学》 2026 (2)

107-112,6

广东省消化系统疾病临床医学研究中心项目(2020B1111170004)

10.12464/j.issn.0253-9802.2025-0435

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