论文部分内容阅读
我院1987～1995年采用人工直肠瓣和人工内括约肌保肛术治疗低位直肠癌60例,收到满意效果,报道如下。 1 临床资料 1.1 一般资料:男42例,女18例,年龄37～72岁,平均49岁。肿瘤下界距肛缘5cm以下22例,5.1～7cm38例,肿瘤最大直径7cm,最小3cm,活动无粘连,无一例超过直肠1/2周径。60例全部作直肠镜检查,均有典型的直肠癌征象,病理均予以确诊。50例行钡灌肠检查,均有典型的直肠癌表现。Dukes分期:B期48例,C期12例。手术方法:方法Ⅰ38例,方法Ⅱ22例。术后发生腹
In our hospital from 1987 to 1995, artificial rectal flap and artificial internal sphincter preserving anus were used to treat 60 cases of low rectal cancer. Satisfactory results were obtained and reported as follows. 1 clinical data 1.1 General information: 42 males and 18 females, aged 37 to 72 years, an average of 49 years old. The lower boundary of the tumor was less than 5 cm below the anal border in 22 cases, and 5.1 to 7 cm in 38 cases. The maximum diameter of the tumor was 7 cm and the minimum was 3 cm. No adhesion was observed in the tumor, and no case exceeded 1/2 of the rectum. All the 60 patients underwent rectal examination, all had typical rectal cancer signs, and the pathology was confirmed. In 50 cases of barium enema examination, there were typical performances of rectal cancer. Dukes staging: 48 cases of B stage, 12 cases of C stage. Surgical methods: Methods 38 cases, Methods II 22 cases. Postoperative abdominal