支撑管式结肛吻合术(附75例报告)

本文报告对75例低位直肠癌病伤行根治性切除，结肛吻合后用特制的肛门螺纹支撑管支撑结肛吻合口，效果满意．手术经腹会阴按肿瘤分期及部位行根治性切除，扩肛后经肛门行结肛吻合，然后置入有一定弹性的特制肛门螺纹支撑管，并妥善固定．术后经该管按时冲洗，保持通畅。75例病人中未发生吻合口漏，术后排便功能及控便能力优者73例，良者2例，局部复发3例，占4％。该术式在完成肿瘤根治的同时，在结肛吻合中使用支撑管．除保留排便功能外，还克服了结肛吻合术后吻合口漏发生率高及分流性结肠造瘘，增加了手术安全度．减少病人痛苦，且支撑管制作容易，操作简单，易于推广。

Coloanal Anastomosis with Supporting-Tube

The authors report 75 cases of low of rectal carinoma with radical resections. The sPecial self- made supporting tubes were applied in the coloanal anastomcois and the results were quite satisfactory. Postoperative follow-up revealed that the bowel movement and the sphincteric function were excellent in an patieuts,and no anastomotic Ieak occurred. Abdominal colostomy was not reguired for decompresson. This technique is actually derived from Park's operation and is considered to be a promising procedure for coloanal anastomosis in the radical surgery for low rectal carcinoma.