论文部分内容阅读
目的 总结1990年1至1998年10月间经腹低位直肠癌切除、结肠肛管吻合术33例,探讨提高手术成功率,减少并发症的方法.方法 回顾性分析33例低位直肠癌经腹切除术,采用结肠肛管吻合术的方式及疗效,并对Parks进行改进研究.结果 33例采用经腹直肠癌切除、结肠肛管吻合术,其中根治切除32例,占96.97%,无手术死亡病例,吻合口瘘2例,占6.06%,无吻合口狭窄,随访6～84个月,盆腔复发2例,无吻合口复发病例,手术近期肛门控制稀便功能欠佳,3～6个月随访肛门功能良好.结论 低位直肠癌在保证根治的前提下,只要肛管直肠括约肌环完整,可采用该术式,手术安全,并发症发生率低,是一种理想的保肛术式.
Objective To summarize 33 cases of low rectal cancer resection and colon anal canal anastomosis between 1990 and October 1998. To explore the methods to improve the success rate and reduce the complications. Methods Retrospective analysis of 33 cases of low rectal cancer by abdominal resection The use of colon anal anastomosis method and efficacy, and Parks improved research. Results 33 cases of rectal cancer resection, colon anal anastomosis, of which 32 cases of radical resection, accounting for 96.97%, no surgical deaths , Anastomotic fistula in 2 cases, accounting for 6.06%, no anastomotic stenosis, follow-up of 6 to 84 months, pelvic recurrence in 2 cases, no recurrence of anastomosis, surgical anal control of loose stool function is poor, 3 to 6 months follow-up Anorectal function is good. Conclusion Low rectal cancer under the premise of guaranteeing radical cure, as long as the anal rectosphincter sphincter ring is complete, this procedure can be used, the operation is safe, and the incidence of complications is low. It is an ideal type of sphincter preservation.