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目的 :介绍拖出式保肛术的改进经验 ,探讨改进术式的临床价值。方法 :对 1987年 5月～ 2 0 0 0年 12月间 488例患者的治疗过程及结果进行回顾分析。结果 :全组无手术死亡 ;手术总并发症发生率为 14.18% ;术后肛门功能满意。结论 :拖出式保肛术的改进 ,显著改善了术后排便节制 ,确保肿瘤切除的彻底性 ,提高了手术的安全性。这一手术值得我们进一步研究和推广应用。
Objective : To introduce the improved experience of pull-out anus preservation and explore the clinical value of improved surgery. Methods : Retrospective analysis was conducted on the course of treatment and results of 488 patients from May 1987 to December 2000. Results: There was no operative death in the whole group; the total operative complication rate was 14.18%; postoperative anal function was satisfactory. Conclusion : The improved pull-out anus-preserving technique significantly improves postoperative defecation control, ensures the thoroughness of tumor resection, and improves the safety of surgery. This surgery is worth our further research and promotion.