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一、溃疡性结肠炎外科治疗的历史:溃疡性结肠炎外科治疗的历史是从19世纪后半叶开始的,近30年来有惊人的进步。1948年 Miller等对发生穿孔的溃疡性结肠炎进行了一期部分结肠切除和回肠造瘘术,由于取得良好的成效,此后结肠切除、回肠造瘘术逐渐盛行。这种一期切除结肠的方式很有用处,可防止中毒症状和蛋白漏出,但也有人持不同的见解。回肠造瘘术式在溃疡性结肠炎治疗中确属一大进步。但也带来一些障碍,如造瘘后排便不能控制、回肠瘘口周围皮肤糜烂和回肠
First, the history of surgical treatment of ulcerative colitis: The history of surgical treatment of ulcerative colitis from the second half of the 19th century, nearly 30 years astonishing progress. In 1948, Miller et al performed a partial colonic resection and ileostomy on perforation of ulcerative colitis. As a result of good results, colostomy and ileostomy gradually became popular. This one-stage approach to colon removal is very useful to prevent poisoning symptoms and protein leaks, but others hold different opinions. Ileostomy in the treatment of ulcerative colitis is indeed a big step forward. But also brought some obstacles, such as defecation can not be controlled after fistula, ileal fistula around the skin erosion and ileum