重视溃疡性结肠炎的规范化外科治疗

我国溃疡性结肠炎(ulcerative colitis，UC)的发病率近20年来呈现快速上升趋势，但由于既往的低发病率以及结直肠外科亚专业化在我国的发展不足，国内对溃疡性结直肠炎的诊断治疗在相当程度上还存在一定盲区。与国外新的治疗理念相比，我国还存在诸多问题，如对内科治疗的过度依赖，对外科手术指征的过严把控，手术方式的选择上存在明显差异、对癌变的监控及早期处理严重不足等。因此迫切需要提高相关科室人员对UC诊断治疗标准的知晓，强化区域炎症性肠病(inflamatory bowel diseases，IBD)诊治中心的建设，大力推动UC诊治指南的宣传与应用，是提高我国UC治疗水平的关键。

More concerns for standardization of surgical treatment of ulcerative colitis

The last decade has seen a rapid increase in the reported incidence of ulcerative colitis(UC)in China.Outside specialized centers which dedicated in inflammatory bowel diseases(IBD), a lack of contemporary knowledge of management of UC(either diagnostic or medical or surgical)is still seen among many gastroenterologists and surgeons in the field of general surgery.This is mainly attributed to the relative low incidence of UC in history and lack of specialization of colorectal surgery in most hospitals.As compared to the contemporary concept of UC treatment worldwide, surgical management of UC in China differs in the following aspects: 1, a longer duration of medical therapy both in acute and chronic UC; 2, a significant lower rate of surgery; 3, a significant lower rate of use of ileal pouch anal anastomosis and a higher rate of ileorectal anastomosis; 4, poor cancer surveillance and delayed diagnosis of cancer in UC patients.To catch up with the western status of UC treatment, concerted efforts must be made in continuing education and setting up regional centers dedicated to IBD treatement and practice of multidisciplinary treatment and promoting the awareness of guidelines in UC management among physicians in primary hospitals.