探索放射性肠损伤的手术方式及围手术期管理的经验与教训。

回顾2024年1月至2025年4月山西医科大学第一医院收治的12例接受手术治疗的慢性放射性肠损伤患者资料，4例行单纯回肠造口；8例切除责任病灶，其中4例改良Bacon手术、1例Parks手术、1例Dixon手术，2例合并膀胱瘘行全盆切除术。

8例切除责任病灶患者中，1例因空盆腔综合征死亡；1例因肠管回缩断裂，造口无法还纳；3例造口已还纳，肛门功能待观察；3例造口待还纳；另4例患者现行回肠造口，病灶待切除。

责任病灶切除可治愈放射性肠损伤，明显减轻患者临床症状，提高生活质量。但是，围手术期管理难度大，并发症多，对该病的临床经验和教训的总结是必要的。

To explore the surgical methods and experiences and lessons in perioperative management of radiation-induced enteropathy.

A retrospective review of data from 12 patients with chronic radiation-induced intestinal injury who underwent surgical treatment at the First Hospital of Shanxi Medical University from January 2024 to April 2025. Four patients underwent simple ileostom. Eight patients had resection of the responsible lesion, including 4 modified Bacon procedures, one Parks procedure, one Dixon procedure, and 2 total pelvic reconstructions due to concurrent bladder fistula.

Among the 8 patients who underwent resection, one died due to empty pelvis syndrome; one had intestinal retraction leading to a stoma that could not be reduced; three had their stomas reduced, with anal function pending observation; two stomas awaited reduction; additionally, four patients currently had ileostomies with the lesion pending resection.

Resection of the responsible lesion can cure radiation-induced rectal injury, significantly alleviating clinical symptoms and improving the quality of life for patients. However, perioperative management is challenging and complications are numerous, making the compilation of clinical experiences and lessons regarding this condition necessary.