结直肠肛门外科2026，Vol.32Issue(4)：338-344,7.DOI:10.19668/j.cnki.issn1674-0491.2026.04.003
克罗恩病的外科管理:现状与挑战
Surgical management of Crohn's disease:current status and challenges
邱卓子淇 1陈志辉 1陈创奇1
作者信息
- 1. 中山大学附属第一医院胃肠外科中心 广东 广州 510080
- 折叠
摘要
Abstract
Crohn's disease is a chronic,transmural,and progressive inflammatory bowel disease characterized by cumulative structural damage and a high rate of recurrence.Although biologic agents have achieved considerable success in controlling inflammation,a substantial proportion of patients still require surgical intervention.In recent years,the treat-to-target concept—emphasizing objective control of inflammation and prevention of structural damage—has been progressively incorporated into the comprehensive management framework for Crohn's disease.Accordingly,surgery should no longer be viewed simply as a last resort after medical treatment failure.From the perspective of treat-to-target,this review evaluates the current status and challenges of surgical management in Crohn's disease,explores optimization and individualization of treatment decisions,and analyzes other important clinical management approaches and strategies.关键词
克罗恩病/外科管理/治疗决策/围术期管理/术后复发/达标治疗Key words
Crohn's disease/surgical management/treatment decision-making/perioperative management/postoperative re-currence/treat-to-target分类
医药卫生引用本文复制引用
邱卓子淇,陈志辉,陈创奇..克罗恩病的外科管理:现状与挑战[J].结直肠肛门外科,2026,32(4):338-344,7.
