全国首例、世界第三例！我院成功救治一名37岁重症溃疡性结肠炎合并中毒性巨结肠患者，彰显救治重病大病硬实力
2026-02-08
电车资讯
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 近日，前海人寿广州总医院结直肠肛门外科迎来一位特殊患者</span><span style="font-family:宋体">——从东北远道而来的37岁男性，因</span></span></span></span></span><strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">溃疡性结肠炎急性加重，</span></strong></span></span></span></span></strong><strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体">并发致命的</span><span style="font-family:宋体">“中毒性巨结肠”</span></strong></span></span></span></span></strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">，生命悬于一线。</span></span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 面对这一消化系统罕见的危急重症，我院结直肠肛门外科团队在汪建平教授、周宏锋教授、窦若虚教授的带领下，勇于攻坚，成功实施了一例腹腔镜下全结直肠切除</span><span style="font-family:宋体">+回肠储袋肛管吻合术（IPAA）+</span></span></span></span></span><strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体">自体血管移植延长肠系膜上动静脉术</span></strong></span></span></span></span></strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">，</span></span></span></span></span><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#0f1115"><span style="font-family:宋体">最终助患者转危为安，重获新生！</span></span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体"> 该联合术式为全国首例、世界第三例</span></strong></span></span></span></span></strong><strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">，</span></strong></span></span></span></span></strong><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">标志着我院在复杂结直肠疾病外科治疗领域达到国际领先水平。</span></span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082000506981.png" style="height:341px; width:507px" /></span></span></span></span></span></span></span></span></p>
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<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:16.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">病情罕见且复杂</span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:16.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">手术面临多重难关</span></strong></span></span></span></span></strong></span></span></span></p>
<p><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 溃疡性结肠炎合并中毒性巨结肠，病情进展迅猛，保守治疗往往收效甚微，患者时刻面临肠穿孔、感染性休克乃至多器官衰竭的死亡威胁。</span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 该患者不仅病情危重，身体条件较差，还因其身高较高，</span></span></span></span><strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体">腹腔内肠系膜血管存在复杂病变</span></strong></span></span></span></strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">，使得手术难度与风险呈几何级数增加。</span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 为确保手术万无一失，汪建平教授团队联合消化内科、麻醉科、重症医学科、医学影像科、临床营养科等进行多学科会诊（</span><span style="font-family:宋体">MDT），围绕术中血管处理、手术入路、吻合技术及术后管理等重点难点进行全面评估，反复推演手术流程，并制定了周密预案。</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082001281886.png" style="height:372px; width:566px" /></span></span></span></span></span></span></span></p>
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<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="background-color:#fff8f4"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">汪教授手绘图</span></span></span></span></span></span></span></span></p>
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<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:16.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">高难度术式组合</span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:16.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">实现根治与功能保全</span></strong></span></span></span></span></strong></span></span></span></p>
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<p style="text-align:center"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082002186368.png" style="height:290px; width:384px" /></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 经过充分准备，医疗团队为患者实施了</span> <span style="font-family:宋体">“腹腔镜下腹内全结直肠切除术+回肠储袋肛管吻合术（IPAA）” 。该术式是溃疡性结肠炎的根治性手术，可彻底切除病变肠段，同时</span></span></span></span><strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体">利用患者自身回肠构建储袋，与肛管吻合，从而保留肛门自主排便功能</span></strong></span></span></span></strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">，避免永久性肠造口，极大提升了患者术后的生活质量。</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082002467021.png" style="height:300px; width:371px" /></span></span></span></span></span></span></span></p>
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<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 然而，本次手术的最大亮点与挑战，在于</span></span></span></span><strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体">团队创新性地应用自体大隐静脉进行肠系膜动静脉桥接重建</span></strong></span></span></span></strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">。针对患者特殊的肠系膜血管病变与缺损，该技术有效恢复了肠道血流，为</span><span style="font-family:宋体">IPAA手术的成功实施创造了关键条件。经检索，该</span></span></span></span><strong><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#346eb7"><strong><span style="font-family:宋体">术式为全国首例、世界第三例成功报道。</span></strong></span></span></span></strong></span></span></span></p>
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<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:16.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">奋战九小时</span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:16.0000pt"><span style="background-color:#ffffff"><span style="font-family:宋体"><span style="color:#3e3e3e"><strong><span style="font-family:宋体">打赢生命与技术攻坚战</span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082003122077.png" style="height:368px; width:546px" /></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 手术历时近</span><span style="font-family:宋体">9小时，在汪建平教授精湛技艺的主导下，在多学科团队的紧密护航下，每一步都如履薄冰又沉稳果断。</span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 血管的成功桥接与重建、病变肠段的彻底切除、以及回肠储袋的完美吻合，每一步都凝聚着团队的智慧与汗水。</span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 术后，患者生命体征平稳，桥接血管血运通畅，恢复良好。这不仅意味着一次复杂手术的成功，更意味着一个濒危的生命被成功拉回，一个家庭重获希望。</span></span></span></span></span></span></span></p>
<p style="text-align:left"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体"> 作为临床重点专科，我院结直肠肛门外科始终站在结直肠疾病诊疗领域的前沿。此次成功救治，充分彰显了我院在攻克医学难关、救治重病大病方面的硬核实力与责任担当，也为区域乃至全球范围内类似疑难病例的治疗提供了宝贵的临床经验。</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">我们不仅救治了一个生命</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">更是守护了一个人应有的尊严和未来</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">这是医者的责任</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">也是前海人寿广州总医院</span></span></span></span></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:12.0000pt"><span style="font-family:宋体"><span style="color:#3e3e3e"><span style="font-family:宋体">结直肠肛门外科不断前行的动力</span></span></span></span></span></span></span></p>
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<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:13.0000pt"><span style="background-color:#7acbfb"><span style="font-family:微软雅黑"><span style="color:#ffffff"><strong><span style="font-family:微软雅黑">专家介绍</span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:13.0000pt"><span style="background-color:#7acbfb"><span style="font-family:微软雅黑"><span style="color:#ffffff"><strong><span style="font-family:微软雅黑"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082004156075.png" style="height:408px; width:548px" /></span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:13.0000pt"><span style="background-color:#7acbfb"><span style="font-family:微软雅黑"><span style="color:#ffffff"><strong><span style="font-family:微软雅黑"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082004278659.png" style="height:354px; width:490px" /></span></strong></span></span></span></span></strong></span></span></span></p>
<p style="text-align:center"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><strong><span style="font-size:13.0000pt"><span style="background-color:#7acbfb"><span style="font-family:微软雅黑"><span style="color:#ffffff"><strong><span style="font-family:微软雅黑"><img alt="" src="http://images.igaofu.com/2026/02/08/202602082004361628.png" style="height:372px; width:497px" /></span></strong></span></span></span></span></strong></span></span></span></p>
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<p style="text-align:right"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:11.0000pt"><span style="font-family:微软雅黑"><span style="color:#a0a0a0"><span style="font-family:微软雅黑">责编：熊玲玲</span></span></span></span></span></span></span></p>
<p style="text-align:right"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:11.0000pt"><span style="font-family:微软雅黑"><span style="color:#a0a0a0"><span style="font-family:微软雅黑">图片：谭洁仪</span></span></span></span></span></span></span></p>
<p style="text-align:right"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:11.0000pt"><span style="font-family:微软雅黑"><span style="color:#a0a0a0"><span style="font-family:微软雅黑">审核：惠庆申</span> <span style="font-family:微软雅黑">周毅俊</span></span></span></span></span></span></span></p>
<p style="text-align:right"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:11.0000pt"><span style="font-family:微软雅黑"><span style="color:#a0a0a0"><span style="font-family:微软雅黑">审定发布：窦若虚</span> <span style="font-family:微软雅黑">宋天水</span></span></span></span></span></span></span></p>
<p style="text-align:right"><span style="font-size:11pt"><span style="font-family:微软雅黑"><span style="color:#080f17"><span style="font-size:11.0000pt"><span style="font-family:微软雅黑"><span style="color:#a0a0a0"><span style="font-family:微软雅黑">本文指导专家：汪建平教授</span></span></span></span></span></span></span></p>