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自体平滑肌移植节制性结肠造口的康复效果
引用本文:李光华,吴允明,程庆君,刘生光,李仕青,骆杰,杨永康. 自体平滑肌移植节制性结肠造口的康复效果[J]. 中国组织工程研究与临床康复, 1997, 0(4)
作者姓名:李光华  吴允明  程庆君  刘生光  李仕青  骆杰  杨永康
作者单位:蚌埠医学院附属医院外科!蚌埠,233004,蚌埠医学院附属医院外科!蚌埠,233004,蚌埠医学院附属医院外科!蚌埠,233004,蚌埠医学院附属医院外科!蚌埠,233004,蚌埠医学院附属医院外科!蚌埠,233004,蚌埠医学院附属医院外科!蚌埠,233004,蚌埠医学院附属医院外科!蚌埠,233004
摘    要:目的:直肠癌Miles术后用自体平滑肌移植以建造节制性结肠造口。方法:1981-06~1997-06,82例直肠癌行自体平滑肌移植节制性结肠造口;用Schmidt手术,取一段正常的乙状结肠去除系膜脂肪和粘膜,行节制性腹壁结肠造口。结果:粪便节制率78.1%(64/82),患者不需要长时间使用造口用具;3例移植物感染,坏死后去除;无手术死亡率;无功能丧失。结论:该方法术后功能良好,并发症很少;推荐使用自体平滑肌括约肌成形用于直肠癌节制性结肠造口,康复效果良好。

关 键 词:结肠造口术  平滑肌  自体移植  康复

The Contienent Colostomy with autograft of smooth muscle
Li Guanghua, Wu Yunming, Cheng Qingjun, LiuShengguang, Li Shiqing, Luo Jie, Yang Yongkang. The Contienent Colostomy with autograft of smooth muscle[J]. Journal of Clinical Rehabilitative Tissue Engineering Research, 1997, 0(4)
Authors:Li Guanghua   Wu Yunming   Cheng Qingjun   LiuShengguang   Li Shiqing   Luo Jie   Yang Yongkang
Abstract:Autograft of smooth muscle was used for abdominal wall comtinent colostony in Miles operation of the rectal cancer. Methods: Continent colostomy was performed in 82 cases from June 1981 to June 1997 with autograft of smooth muscle. In sphincteroplasty, a normal segment of colon, 10cm in length, freed from mesenteric fat and mucosa were taken to make a continent colostomy on abdominal wall with Schmidt opera tion. Results: The patients achieved continence in 78. 1% (64/82) . Stool bags were no longer necessary after operation. Removal of the graft was necessary only in 3 of 82 cases due to the necrosis. The surgical mortality rate was zero. No disfunction in continence of the sphincter were seen. Conclusions: Postoperative function was favorable and complication low.Autograft of smooth muscle was therefore recommended in colostomy of rectalcancer.
Keywords:colostomy smooth muscle autograft recovered
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