中国实用外科杂志

中国实用外科杂志

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我国炎症性肠病多学科综合治疗现状

兰    平，柯    嘉   

  1. 中山大学附属第六医院，广东广州510655
  • 出版日期:2017-03-01 发布日期:2017-03-02

  • Online:2017-03-01 Published:2017-03-02

摘要：

炎症性肠病虽然是内科疾病，但多数病人病情复杂且需药物长期维持和手术治疗，其治疗方案须个体化。因此，术前应高度重视多学科综合治疗协作组的作用，充分发挥消化内科、结直肠外科、营养科甚至心理科等多个专科的力量，进行充分的围手术期处理，并准确把握内科治疗和外科治疗的指征。在选择外科治疗方式时，强调在合适的时机，以最小的创伤和风险解除症状，进而减少术后并发症，提高病人生活质量。

关键词: 炎症性肠病, 多学科综合治疗协作组

Abstract:

The current view of multi-disiplinary treatment of inflammatory bowel disease        LAN Ping, KE Jia. The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou 510655，China
Corresponding author：LAN Ping，E-mail：lanping@mail.sysu.edu.cn
Abstract    Although the treatment of inflammatory bowel disease theoratically belongs to internal medicine， it always involves the surgery and long term drug usage. Therefore，it highly recommend the importance of multi-disiplinary team， which includes experts in adult and pediatric gastroenterology， surgery， pathology， radiology， nutrition and other disciplines. Combined with the best assessment and preoperative treatment，MDT model can set plans to excute the strategies，including surgery and medication，by the right timing and methods.

Key words: inflammatory bowel disease, multi-disiplinary team