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自1989年5月至1994年4月,我科应用改良的Bacon’s手术治疗中、低位直肠癌29例,与同期实行Mile’s手术43例相比较,效果满意。 1 资料与方法 改良的Bacon’s手术组29例。男18例,女11例。年龄26～76岁,中位年龄51岁。中位输血220mL(100～400mL)。切缘复发2例,无排尿障碍及阳萎。肿瘤下缘至肛门距离5～10cm,肿瘤横径3～6cm,纵长3～10cm。mile’s手术组43例。中位年龄53岁(29～78)。男:女 26:17。中位输血405mL(200～800)。排尿障碍4例,阳萎2例。肿瘤特点与改良的Bacon’s手术组无差别。1、改良Bacon’s手术
From May 1989 to April 1994, our department applied a modified Bacon’s operation to treat 29 cases of middle and low rectal cancer. Compared with 43 cases of Mile’s operation during the same period, the results were satisfactory. 1 Materials and Methods 29 cases of modified Bacon’s surgery group. There were 18 males and 11 females. Age 26 to 76 years, median age 51 years old. The median blood transfusion was 220 mL (100-400 mL). Recurrence of the margin in 2 cases, no voiding dysfunction and impotence. The distance from the lower edge of the tumor to the anus is 5 to 10cm. The tumor has a transverse diameter of 3 to 6cm and a length of 3 to 10cm. Mile’s surgery group 43 cases. The median age is 53 years (29 to 78). Male: Female 26:17. The median blood transfusion was 405 mL (200-800). Urine dysfunction was found in 4 cases and impotence in 2 cases. The tumor characteristics were no different from the modified Bacon’s surgery group. 1, modified Bacon’s surgery