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结直肠手术机械性肠道准备的研究进展 被引量:9

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摘要 自上世纪70年代开始,限期的结直肠手术患者术前需常规机械性肠道准备(mechanical howel preparation,MBP),成为一种"经验性教条".直到目前,限期结直肠手术术前行常规机械性肠道准备的医疗单位在中国超过90%.目前最常用的机械性肠道准备药物主要是容积性泻药,如聚乙二醇和磷酸钠溶液,较传统的缓泻剂拥有更佳的肠道清洁功能[1,2],并被绝大多数的外科医生所采纳.机械性肠道准备的目的主要是清理肠腔内积存的粪便,以减少术中手术区域的潜在污染,从而降低手术部位感染(surgical site infection,SSI)和吻合口瘘的发生.
作者 陈剑辉
出处 《消化肿瘤杂志(电子版)》 2011年第1期53-56,共4页 Journal of Digestive Oncology(Electronic Version)
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  • 1Oliveira L,Wexner SD,Daniel N. Mechanical bowel preparation for elective colorectal surgery.A prospective,randomized,surgeon-blinded trial comparing sodium phosphate and polyethylene glycol-based oral lavage solutions[J].Diseases of the Colon & Rectum,1997,(05):585-591.doi:10.1007/BF02055384.
  • 2Yoshioka K,Connolly AB,Ogtmbiyi OA. Randomized trial of oral sodium phosphate compared with oral sodium picosulphate(Picolax)for elective colorecud surgery and colonoscopy[J].Digestive Surgery,2000,(01):66-70.doi:10.1159/000018802.
  • 3O'Dwer PJ,Conway W,McDermott EW. Effect of mechanical bowel preparation on anastomotic integrity following low anterior resection in dogs[J].British Journal of Surgery,1989,(07):756-758.
  • 4Irvin Tr,Bostock T. The effects of mechanical preparation and acidification of the colon on the healing of colonic anastomoses[J].Surgery Gynecology & Obstetrics,1976,(03):443-447.
  • 5Schein M,Assalia A,Eldar S. Is mechanical bowel preparation necessary before primary colonic anastomosis? An experimental study[J].Diseases of the Colon & Rectum,1995,(07):749-752.doi:10.1007/BF02048035.
  • 6Coskun A,Uzunkoy A,Duzgun SA. Experimental sodium phosphate and polyethylene glycol induce colonic tissue damage and oxidative stress[J].British Journal of Surgery,2001,(01):85-89.doi:10.1046/j.1365-2168.2001.01608.x.
  • 7Bingol-Kologlu M,Emin Senocak M. A comparative histopatholngic evaluation of the effects of three different solutions used for whole bowel imotion:an experimental study[J].Journal of Pediatric Surgery,2000,(04):564-568.
  • 8Okada M,Bothin C,Kanzawa K. Experimental study of the influence of intestinal flora on the healing of intestinal anastomoses[J].British Journal of Surgery,1999,(07):961-965.doi:10.1046/j.1365-2168.1999.01161.x.
  • 9Curran TJ,Borzotta AP. Complications of primary repair of colon injury:literature review of 2,964 cases[J].American Journal of Surgery,1999,(01):42-47.doi:10.1016/S0002-9610(98)00293-1.
  • 10Conrad JK,Ferry KM,Fore ML. Changing management trends in penetrating colon trauma[J].Diseases of the Colon & Rectum,2000,(04):466-471.doi:10.1007/BF02237188.

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同被引文献109

  • 1江志伟,李宁,黎介寿.快速康复外科的概念及临床意义[J].中国实用外科杂志,2007,27(2):131-133. 被引量:1356
  • 2韩加刚,王振军.择期结直肠手术前机械性肠道准备的争议[J].中国实用外科杂志,2007,27(9):738-740. 被引量:11
  • 3Zmora O,Mahajna A,Bar-Zakai B. Colon and rectal surgery without mechanical bowel preparation: a randomized prospective trial[J].Annals of Surgery,2003,(03):363-367.
  • 4Ram E,Sherman Y,Weil R. Is mechanical bowel preparation mandatory for elective colon surgery? A prospective randomized study[J].Archives of Surgery,2005,(03):285-288.doi:10.1001/archsurg.140.3.285.
  • 5Wille-Jorgensen P,Guenaga KF,Matos D. Pre-operative mechanical bowel cleansing or not? An updated meta-analysis[J].Colorectal Disease,2005,(04):304-310.
  • 6Slim K,Vicaut E,Panis Y. Meta-analysis of randomized clinical trials of colorectal surgery with or without mechanical bowel preparation[J].British Journal of Surgery,2004,(09):1125-1130.
  • 7Lassen K,Soop M,Nygren J. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations[J].Archives of Surgery,2009,(10):961-969.doi:10.1001/archsurg.2009.170.
  • 8Fa-Si-Oen P,Roumen R,Buitenweg J. Mechanical bowel preparation or not? Outcome of a multicenter,randomized trial in elective open colon surgery[J].Diseases of the Colon & Rectum,2005,(08):1509-1516.
  • 9Platell C,Barwood N,Makin G. Randomized clinical trial of bowel preparation with a single phosphate enema or polyethylene glycol before elective colorectal surgery[J].British Journal of Surgery,2006,(04):427-433.
  • 10Gueoaga KK,Matos D,Wille-Jorgensen P. Mechanical bowel preparation for elective colorectal surgery[J].Coehrane Database Syst Rev,2009.CD001544.

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