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目的 :探讨结肠J型贮袋肛管吻合术在直肠癌保肛手术中的保肛功能效果。方法 :采用上述方法行低位直肠癌根治 30例 ,术后 1个月、半年、1年分别通过问卷形式评估排便功能情况 ,观察项目包括每天大便次数、夜便、大便失禁、控便能力、排气排便识别能力和便秘等。结果 :30例病人术后 1个月内均有 1～ 3项不同程度的排便功能障碍情况 ,半年之后基本恢复 ,1年后除 5例仍有便秘和 3例有排便不尽感外 ,其余症状全部消失。结论 :结肠J型贮袋肛管吻合术在直肠保肛手术中确能起到预防术后排便功能不良的作用。
Objective : To investigate the effect of colon-anal canal anastomosis in anus-preserving operation for rectal cancer. METHODS: Thirty patients with low rectal cancer were treated with the above method. Defecation function was assessed by questionnaires at 1 month, 6 months, and 1 year after surgery. The observation items included daily stool frequency, night stool, fecal incontinence, ability to control feces, and row. Defecation identification and constipation. Results: There were 1 to 3 different levels of defecation dysfunction within 1 month after surgery in all 30 patients. After half a year, they basically recovered. After 1 year, there were 5 cases of constipation and 3 cases of defecation. All symptoms disappear. Conclusion: Colonic J-type pouch anal canal anastomosis can effectively prevent postoperative defecation dysfunction in rectal anus preservation surgery.