| 低位直肠癌保肛治疗的手术分析 |
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| 引用本文： | 莫启章. 低位直肠癌保肛治疗的手术分析[J]. 河南外科学杂志, 2009, 15(3): 4-5 |
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| 作者姓名： | 莫启章 |
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| 作者单位： | 广西中医学院附属瑞康医院胃肠外科,南宁,530011 |
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| 摘 要： | 目的探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡,未发生吻合口漏和吻合口狭窄,局部复发1例,20周左右恢复正常排便排气功能,无大便失禁病例。随访8个月~5年,5例发生远处转移,死亡4例,其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证,经腹、肛门齿线上直肠癌根治性切除,行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。
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| 关 键 词： | 低位直肠癌 保肛手术 疗效 |
Analysis of treatment of low rectal cancer surgery anus |
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| MO Qizhang. Analysis of treatment of low rectal cancer surgery anus[J]. Henan JOurnal of Surgery, 2009, 15(3): 4-5 |
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| Authors: | MO Qizhang |
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| Affiliation: | MO Qizhang.Department of Gastrointestinal Surgery,Ruikang Hospital Affiliated to Guangxi College of Traditional Chinese Medicine,Nanning 530011,Guangxi |
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| Abstract: | Objective To investigate anus sphincter preserved surgical method and indication for low rectal cancer.Methods Fifteen cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.Results No patient died of operation,no patient was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.Following up for 8 months to 5 years,5 cases were with distant met... |
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| Keywords: | Low rectal cancer Anus preserved operation Treatment effect |
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