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管扎式结肠肛管吻合术治疗低位直肠癌(附256例报告)
引用本文:孙学军,吕春华,黄凤瑞,褚海波,韩刚,李银良,徐永波. 管扎式结肠肛管吻合术治疗低位直肠癌(附256例报告)[J]. 结直肠肛门外科, 2007, 13(3): 146-148
作者姓名:孙学军  吕春华  黄凤瑞  褚海波  韩刚  李银良  徐永波
作者单位:解放军第89医院普外科,山东潍坊,261021
摘    要:目的:评价管扎式结肠肛管吻合术治疗低位直肠癌的安全性和临床效果.方法:回顾性分析1991年10月至2005年12月共256例低位直肠癌行管扎式结肠肛管吻合术的临床资料.结果:无手术死亡,术后发生吻合漏1例,吻合口狭窄16例,术后肛门功能优良率96.7%,术后5年肿瘤局部复发13.1%,5年存活率为71.9%.结论:该法具有操作简单易行安全可靠,减少了吻合口漏的发生,适用于各级医院开展.

关 键 词:直肠肿瘤  结肠肛管吻合术  管扎法
收稿时间:2007-04-03
修稿时间:2007-04-03

Colo-anal anastomoses with sustaining bonding method in the treatment of lower rectal cancer
Sun Xuejun,Lv Chunhua,Huang Fengrui,et al.. Colo-anal anastomoses with sustaining bonding method in the treatment of lower rectal cancer[J]. Journal of Colorectal & Anal Surgery, 2007, 13(3): 146-148
Authors:Sun Xuejun  Lv Chunhua  Huang Fengrui  et al.
Abstract:Objective:To evaluate the clinical value and safety of colo-anal anastomoses with sustaining bonding method in the treatment of lower rectal cancer.Methods: The clinical data of 256 patients with lower rectal cancer who underwent colo-anal anastomoses with sustaining bonding method between October 1991 and December 2005 were reviewed. Results: There was no operative death. One patient encountered anastomotic leakage after operation, 16 developed anastomotic stenosis. The rate of good anal function was 96.7%, and five-year survival rate was 71.9%. Conclusion: This new technique is effective and safe and can be widely used.
Keywords:Rectal neoplasm  Colo-anal anastomosis  Sustaining tube
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