摘要
目的探讨Mason手术在低位直肠肿瘤切除术中的作用。方法对采用Mason手术治疗的85例低位直肠肿瘤病例进行回顾性分析。结果病理检查结果为直肠绒毛状腺瘤29例,直肠癌47例,直肠类癌等9例。直肠癌中Tis期17例,T_1期19例,T_2期7例,T_3期1例,T_4期3例。术后合并伤口感染2例(2.3%),直肠皮肤瘘2例(2.3%)。无手术死亡,无术后肛门失禁。术后3年和5年生存率分别为100%和95.5%。结论 Mason手术具有手术径路直达,术野宽敞,显露良好,十分适用于低位直肠肿瘤的治疗。
Objective To explore the role of the Mason operation in surgical treatment of low rectal tumor.Methods A retrospective study was made to analyze the experience with the Mason operation in 85 patients with low rectal tumor.Results Villous adenoma was observed in 29 patients and rectal cancer in 47,including Tis stage in 17,T1 in 19,T2 in7,T3 in 1,and T4 in 3.Postoperative complications in- cluded wound infection in 2 patients(2.3%)and fecal fistula in 2(2.3%).Neither operative death nor incontinence occurred.The three-and five-year survival rates were 100% and 95.5% respectively.Conclusion The Mason operation is useful in the treatment of low rectal tumor because of direct access to the operative area.
出处
《中华普外科手术学杂志（电子版）》
2007年第1期26-28,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
