摘要
目的；探讨手缝法低位结-直肠吻合术在晚期卵巢癌直肠转移肠段切除吻合术中的价值。方法：于盆底腹膜外游离直肠下段，距离癌灶缘3cm以外切除受侵肠管，行手缝低位结-直肠吻合术。手术结束后于骶前间隙放置引流管，以防渗液蓄积继发感染。结果：10例中除1例术后9d出现吻合口瘘外，，余9例吻合口均甲级愈合。术后以PAC方案为主行腹腔和静脉联合化疗，效果良好。随访6～36个月患者均存活，其中7例临床完全缓解。结论：手缝法低位结-直肠吻合术不需借助特制器械，避免了肠造瘘的痛苦，提高了生活质量。
Objective To investigate the value of lower colorectostomy with hand-suture technique (LCRSHS) in partial intestine excision operation of rectum metastasis from advanced ovarian carcinoma. Methods: Dissociate lower part of rectum outside: the peritoneum of pelvic bottom, excise the partial metastatic intestine at least 3cm far away from the edge of carcinoma focus then the LCRSHS was performed. At the end of the operation,a drairage tube was laid at foresacrum space to prevent second infection caused by storing of seepage. Results: Among ten cases, only one occured fistula in the anastomosols position on the ninth day of operation. Others acquired the A healing. Chemotherapy by the intrarenous and intraperitoneal routes combined using PAC was performed after operation and achieved fine effect. All the patients were survived after following six to thirty six months. Seven cases were completely relieved in clinic. Conclusions: LCRSHS needn't the aid of the expensive and special instruments, It can prevent the patients from the illness of intestine fistulation and improve the quality of their lives.
出处
《现代妇产科进展》
CSCD
1999年第4期313-316,共4页
Progress in Obstetrics and Gynecology
关键词
卵巢肿瘤
直肠转移
吻合术
手缝法
Ovarian neoplasms
Rectum metastasis
Anastornosis, surgery
