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1981年9月至1986年5月我院用纤维结肠镜随防检查了104例直肠癌行经腹会阴切除术(以下称Miles术)的病人,发现第二原发癌8例,粘膜内癌5例,腺瘤21例·从而使这些术后病人的大肠病变,在钡灌肠X摄片难以奏效的情况下,再次得到了及时的诊断和治疗。由于Miles手术范围大,形成创面广泛,术后易发生粘连,肠管正常走向亦发生变异。故如不熟悉术后的解剖情况和掌握其特有的操作技术,易导致并发症发生。
From September 1981 to May 1986 in our hospital, 104 patients with rectal cancer who underwent transabdominal perineal resection (hereafter referred to as Miles) were examined with a colonoscopy, and 8 patients with second primary cancer and 5 with intramural cancer were found. For example, in 21 patients with adenomas, the colon lesions of these postoperative patients were again diagnosed and treated in a timely manner when the barium enema was not effective. Due to the wide range of Miles surgeries, extensive wounds are formed, adhesions are prone to occur after surgery, and the normal direction of the intestinal tract is also mutated. Therefore, if you are not familiar with postoperative anatomy and master its unique operating techniques, it can easily lead to complications.