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肛门外结直肠手法吻合治疗中低位直肠癌146例分析

MIDDLE OR LOWER RECTAL CARCINOMA TREATED BY HANDED COLORECTOSTOMY OUTSIDE ANUS(ANALYSIS IN 146 CASES)
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摘要 目的 :探讨中低位直肠癌非吻合器吻合保肛手术方法的效果。方法 :采用结直肠肛门外低位手法吻合的方法 ,对 146例中低位直肠癌行保肛手术 ,直肠肿瘤远端及其系膜的切除范围为 3~ 6 cm。结果 :手术成功 145例 ,并发吻合口瘘 11例 ,仅 1例行肠造口 ;2年内复发和转移 13例 ,其中吻合口复发 2例 ;术后肛门对成形粪便控制力良好 ,无大便完全失禁者。结论 Objective:\ To investigate the methods of keeping anus in middle or lower rectal carcinoma without treating by EEA Methods:Middle or lower rectal carcinoma in 146 cases were treated by handed colorectostomy outside anus The distal resection of rectal carcinoma is 3 cm to 6 cm Resultes:The operation was successful in 145 cases Only 1 case had to receive colostomy and anastomyses fistula occurred in 11 cases Recurrence and metastasis happened in 13 cases and 2 cases were in the anastomysis position within 2 years after redical resection The anus have better function for shaping faceces and no incontinence of faeces happned after operation Conclution:Handed colorectostomy outside anus is the best method for middle or lower rectal carcinoma to keep anus
出处 《大肠肛门病外科杂志》 2001年第2期14-16,共3页 Journal of Coloproctological Surgery
关键词 中低位直肠肿瘤 吻合术 根治性切除 肛门外结直肠手法 Rectal neoplasms/treatment \ Anastomosis,surgical Redical resection
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