| 两种拖出式超低位直肠癌保肛术疗效分析 |
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| 引用本文： | 梁天伟,孙轶,卢永刚,商志远,韦义伦.两种拖出式超低位直肠癌保肛术疗效分析[J].中国全科医学,2011,14(15). |
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| 作者姓名： | 梁天伟 孙轶 卢永刚 商志远 韦义伦 |
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| 作者单位： | 广西柳州市南方医科大学附属柳州医院普外一科,545007 |
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| 摘 要： | 目的 探讨双吻合器法与免吻合器法两种拖出式超低位直肠癌保肛术的优缺点.方法 我院2004年8月-2009年8月行拖出式超低位直肠癌保肛术患者52例,随机分为双吻合器组和免吻合器组,对比分析两组患者术后并发症、术后肛门功能恢复情况、复发转移情况及住院费用.结果 两组患者各有1例吻合口狭窄,经扩肛治疗后缓解,均无吻合口漏并发症发生.无吻合器组术后3个月肛门功能恢复优良患者较双吻合器组明显增多,差异有统计学意义(P＜0.05).术后随访1～6年,两组患者均无肿瘤局部复发及远处转移.无吻合器组住院费用较双吻合器组明显降低,差异有统计学意义(P＜0.05).结论 免吻合器较双吻合器拖出式超低位直肠癌保肛术更简单易行、安全可靠、经济实用,在严格掌握适应证的前提下,作为超低位直肠癌的一种保肛术式选则,更值得推广.
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| 关 键 词： | 直肠肿瘤 外科手术 吻合口 |
Comparison of Two Pull-out Resection Sphincter-reserving Operations for Ultra Low Rectal Cancer |
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| LIANG Tian-wei,SUN Yi,LU Yong-gang,et al..Comparison of Two Pull-out Resection Sphincter-reserving Operations for Ultra Low Rectal Cancer[J].Chinese General Practice,2011,14(15). |
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| Authors: | LIANG Tian-wei SUN Yi LU Yong-gang |
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| Institution: | LIANG Tian-wei,SUN Yi,LU Yong-gang,et al.Department of General Surgery of Affiliated Liuzhou Hospital of Southern Medical University,Liuzhou 545007,China |
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| Abstract: | Objective To evaluate the advantages and disadvantages of two pull-out resection sphincter-preserved operations for low anterior rectal cancer. Methods Totally 52 patients who were treated in our hospital between August 2004 and August 2009 were equally randomly divided into double stapling technique group and without stapling technique group,and their clinical data were analyzed. Results All patients underwent operation successfully.One anastomotic stenosis was noted in each group,which was relieved after ... |
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| Keywords: | Rectal neoplasms Surgical procedures operative Stomas |
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