JAMA Surg:回肠造口术代替结肠切除术治疗艰难梭菌结肠炎

2019-07-17 MedSci MedSci原创

尽管艰难梭菌结肠炎仍然是高死亡率的病症,但回肠造口术和全腹部结肠切除术均为有效的治疗手段

2011年有报道称回肠造口与结肠灌洗术可代替全腹腔结肠切除治疗艰难梭状杆菌结肠炎。近日研究人员就回肠造口术与全腹腔结肠切除术治疗重症艰难梭状杆菌结肠炎的疗效进行了考察。

3021名重症艰难梭状杆菌结肠炎患者参与研究,其中包括2408次全结肠切除和613个回肠环造口术,研究的主要终点为住院死亡率。

患者平均年龄68.2岁。在整个研究期间,613例(20.28%)患者接受了开腹回肠造口术,但未行全腹结肠切除术。每年仅接受回肠环造口术的患者比例从2011年的11.16%上升到2015年的25.30%。住院第1天进行回肠环切的患者比例明显多于全结肠切除术(23.31% vs 12.21%)。两组住院死亡率无显著性差异(25.98% vs 31.18%)。

尽管艰难梭菌结肠炎仍然是高死亡率的病症,但回肠造口术和全腹部结肠切除术均为有效的治疗手段。

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    2019-07-19 zhaojie88
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