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会阴部伤口愈合不良是腹会阴切除术后的重要并发症。此研究的标准是会阴部的立即皮瓣覆盖和长期横断面手术结果。Wang ED等对1995~2013年期间接受了腹会阴切除或盆腔脏器切除的214例直肠肛门癌患者进行了回顾性分析,其中147例患者直接一期缝合(对照组),另外47例患者接受了立即带蒂皮瓣一期缝合(皮瓣组),皮瓣组患者更年轻,有更多影响伤口愈合的并发症,如HIV、吸烟者、克罗恩病者、复发癌、再次手术者、肛管癌的比例更大以及癌症分级更高,而对照组多为原
Poor perineal wound healing is an important complication of abdominal perineal resection. The criteria for this study were immediate flap coverage of the perineum and long-term cross-sectional surgi- cal results. Wang ED et al retrospectively analyzed 214 patients with rectal anorectal carcinoma who had undergone abdominal perineal resection or pelvic organ excision from 1995 to 2013, 147 of whom were sutured immediately (control group) and 47 others Immediately pedicled flap (flap group), the flap group was younger and had more complications that affected wound healing, such as HIV, smoker, Crohn’s disease, recurrent cancer, reoperation , A greater proportion of anal cancer, and a higher grade of cancer, while controls were more primitive