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肠道克罗恩病外科治疗进展OA

Surgical treatment of intestinal Crohn's disease:a review

中文摘要英文摘要

克罗恩病(CD)是以反复的肠道炎症、纤维化为主的肠道疾病,近年来发病率呈上升趋势.传统的CD治疗以内科治疗为主,外科手术主要是为内科治疗无效及出现并发症的患者提供治疗.系膜切除范围及吻合方式仍然是CD主要的研究重点,Kono-S吻合术仍然存在争议,近年来实践证明加速康复外科及多学科诊疗均可以改善患者预后.本文总结CD的手术时机、手术方式以及围手术期管理等方面最新的临床证据,为CD外科规范化治疗提供新的依据.

Crohn's disease(CD)is a chronic intestinal disorder characterized by recurrent inflammation and fibrosis.Its incidence has been rising steadily in recent years.While traditional management primarily relies on drug therapy,surgery plays a crucial role in managing complications and cases refractory to drug treatment.The extent of mesenteric resection and the choice of anastomotic technique remain key research foci,with the Kono-S anastomosis still being a subject of debate.Recent clinical practice has demonstrated that enhanced recovery after surgery protocols and multidisciplinary team management can significantly improve patient outcomes.This article summarized the latest clinical evidence regarding the timing of surgery,surgical tech-niques,and perioperative management in CD,aiming to provide an updated basis for standardizing the surgi-cal treatment of this condition.

祁玉璟;郭继武;毛杰

兰州大学第二医院 普通外科,甘肃 兰州 730030兰州大学第二医院 普通外科,甘肃 兰州 730030兰州大学第二医院 普通外科,甘肃 兰州 730030

医药卫生

克罗恩病肠道外科治疗系膜切除Kono-S吻合术加速康复外科多学科诊疗腹腔镜手术

Crohn's diseaseintestinesurgical treatmentmesenteric resectionKono-S anastomosisenhanced recovery after surgerymulti-disciplinary teamlaparoscopic surgery

《兰州大学学报(医学版)》 2026 (4)

106-110,5

国家自然科学基金资助项目(82460588)兰州大学第二医院(第二临床医学院)"萃英科技创新"计划资助项目(CY2023-BJ-06)

10.13885/j.issn.2097-681X.M202508800

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