【摘要】 随着外科手术技术、辅助治疗和新辅助治疗的发展,直肠癌患者手术后的生存期得到明显改善,但是器官功能障碍仍然是影响患者术后生活质量的重要问题。随着临床研究及实践的不断深入和相关理论的更新,直肠癌手术盆腔器官功能保护领域积累了更多翔实可靠的循证医学证据,并在国内外临床真实世界中得到不断验证。为了进一步提高国内医师对于直肠癌治疗过程中器官功能保护的意识,规范评估方法和手术方式,降低器官功能障碍的发生率,从而提高患者生活质量,由中国医师协会外科医师分会结直肠外科医师专业委员会、中华医学会外科学分会结直肠外科学组、国家卫生健康委员会能力建设和继续教育外科学专家委员会结直肠外科专业委员会以及中国性学会结直肠肛门功能外科分会组织相关专家进行讨论,在2021版《直肠癌手术盆腔器官功能保护中国专家共识》的基础上,对新增的循证医学证据进行分析、总结和归纳,参考国内外相关研究,结合临床实践,针对直肠癌术后器官功能障碍的定义、危险因素、评估方法以及预防等问题,提出直肠癌手术盆腔器官功能障碍的诊断、评估和治疗建议,最终形成了“直肠癌手术盆腔器官功能保护中国专家共识(2025版)”。更多还原

【Abstract】 With the development of surgical techniques,adjuvant therapy and neoadjuvant therapy,the survival time of rectal cancer patients after surgery has been significantly improved,but organ dysfunction is still an important problem affecting the quality of life of patients after surgery.With the continuous deepening of clinical research and practice and the updating of relevant theories,more detailed and reliable evidence-based medical evidence has been accumulated in the field of pelvic organ function protection in rectal cancer surgery,and has been continuously verified in the clinical real world at home and abroad.In order to further improve the awareness of domestic physicians on the protection of organ function during the treatment of rectal cancer,standardize the evaluation methods and surgical methods,reduce the incidence of organ dysfunction,and thus improve the quality of life of patients,Society of Colon & Rectal Surgeons of Chinese College of Surgeons of Chinese Medical Doctor Association,Section of Colorectal Surgery of Branch of Surgery of Chinese Medical Association,National Health Commission Capacity Building and Continuing Education Center Colorectal Surgery Committee,and Colorectal and Anal Function Surgeons Committee of China Sexology Association organized the discussion among relevant experts.On the basis of the 2021 edition of the Chinese Expert Consensus on the Protection of Pelvic Organ Function in Rectal Cancer Surgery,the recent evidence-based medical evidence was analyzed and summarized,and the definition,risk factors,evaluation methods,prevention and other issues of organ dysfunction after rectal cancer surgery were analyzed with reference to relevant domestic and foreign studies and combined with clinical practice.Proposed the diagnosis,evaluation and treatment of pelvic organ dysfunction in rectal cancer surgery,and finally formed the " Chinese expert Consensus on the protection of pelvic organ function in rectal cancer surgery(version2025)".更多还原