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作者自1991~1994年有选择地应用套迭拉出式直肠癌根治术(Welch手术)治疗低位直肠癌20例,效果满意。 1 临床资料 1.1 一般资料 本组男19例,女1例,平均年龄58岁;病程1个月到半年不等,平均病程3个月;直肠指检均可扪及肿块,肿瘤下缘距肛缘5~8cm,平均6cm。术前20例活组织检查病理报告均为直肠腺癌。术后病检:高分化管状腺癌4例,中低分化管状腺癌10例,粘液腺癌4例,未分化癌2例;Dukes A
From 1991 to 1994, the authors used a nesting-pulling radical rectal cancer surgery (Welch surgery) to treat 20 patients with low rectal cancer. The results were satisfactory. 1 Clinical data 1.1 General information The group of 19 males and 1 female, the average age of 58 years; duration of 1 month to six months, the average duration of 3 months; rectal examination can be palpable mass, tumor from the edge of the lower edge of the anus Edge 5 ~ 8cm, an average of 6cm. Preoperative 20 biopsy pathology reports were rectal adenocarcinoma. Postoperative pathological examinations: 4 well-differentiated tubular adenocarcinomas, 10 moderately-differentiated tubular adenocarcinomas, 4 mucinous adenocarcinomas, and 2 undifferentiated carcinomas; Dukes A