摘要
评价低位直肠癌保肛手术两种吻合方法的安全性和实用性。选择329例低位直肠癌实施保肛手术，经肛门环扎式吻合法137例，吻合器加肛门支撑管法192例。两组病例无手术死亡。术后并发症：吻合口漏：经肛门环扎组2例（1．5％，2／137），吻合器组2例（1．0％，2／192）；吻合口出血：环扎组4例（2．9％，4／137），吻合器组3例（1．6％，3／192）；吻合口狭窄：环扎组7例（5．1％，7／137），吻合器组8例（4．1％，8/192）。结果表明，吻合器吻合法适用于肛提肌以上平面的吻合，经肛门环扎式吻合适用于肛提肌上下任何平面的吻合，两种方法都是安全可靠成熟的术式，而后者更具有实用性和创新性。
The objective of the study is to evaluate the safety and feasibility of two anastomotic procedures in anus-preserving radical operations of low rectal carcinoma. Of the 329 cases who underwent anus-preser ving radical operations,137 received transanal circular-ligated anastomosis （procedure Ⅰ ） and 192 anussupporting stapling anastomosis（procedure Ⅱ ）. There was no case death during operations. Anastomotic leakage was found in 2 cases of procedure Ⅰ （1.5%） and in another 2 cases of procedure Ⅱ （1.0%）;anastomotic bleeding was noticed in 4 cases of procedureⅠ （2.9%） and in 3 cases of procedure Ⅱ （1.6%）;and anastomotic stricture occurred in 7 cases of procedure Ⅰ （5.%） and in 8 cases of procedure Ⅱ （4.1%）. It is concluded that procedure Ⅱ is more adaptable anastomosis above the level of levator ani muscle, while procedure I is feasible at any levels,more applicable and bring forth new ideas;and procedure Ⅰ , Ⅱare both reliable and safe surgical procedures.
出处
《中国肛肠病杂志》
2006年第6期14-15,共2页
Chinese Journal of Coloproctology
关键词
直肠癌
保肛手术
吻合术
外科
Recal carcinoma
Anus-preserving operation
Anastomosis,surgery
