[功能评估和肠道康复中取得的进展,用于低直肠癌的关切除]
1Department of Colorectal Surgery, the Characteristic Medical Center of PLA Rocket Force, Beijing 100088, China.
间切除 (ISR) 为低直肠癌提供了节的选择,可能避免永久性口腔. 然而,管理导致的肠功能障碍和改善生活质量需要进一步的研究和康复策略.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
背景情况:
- 间切除 (ISR) 是用于低直肠癌的关节节的方法,为腹腔切除提供了一个替代方案,以避免永久性口腔.
- 虽然瘤结果相似,但显著的肠功能障碍和生活质量受损是ISR的常见后果.
研究的目的:
- 提供对ISR患者功能和生活质量结果的系统评估的最新审查.
- 总结目前的证据和在ISR后肠道康复的选择.
主要方法:
- 对评估术后门功能,生活质量,门测量和形态学的文献进行系统审查.
- 包括患者报告的结果措施 (PROM) 和客观的功能评估.
主要成果:
- 术后门功能使用各种尺度 (例如,失禁评估尺度,特定LARS评估尺度) 和患者日记进行评估.
- 评估生活质量最好是使用特定疾病的尺度,特别是便失禁.
- 可以客观地测量生理功能 (测量力) 和解剖变化 (消极图,超声波).
结论:
- 对ISR患者来说,对功能和生活质量的全面评估至关重要.
- 不同的康复技术,包括盆地炼,生物反和神经神经调节,可以改善结果.
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