经骶尾途径手术治疗中下段直肠病变

经骶尾途径手术切除直肠病变后在直视下完成肠吻合术是一种较好的保肛手术．1994年9月至1996年7月共施行此类手术9例，其中直肠癌4例．直肠绒毛状腺瘤3例．直肠平滑肌肉瘤1例，直肠狭窄1例．结果：全部病例随访2个月至3年，1例直肠癌术后吻合口漏而改行Miles手，1例术后骶前感染而保守治愈．1例直肠癌术后15个月肿瘤盆腔复发而行乙状结肠造痿术．2例病人术后诉坐位时会阴部疼痛，所有病例大便控制功能良好，无肛门失禁．结论：该手术作为良性直肠中下段病变的首选手术，对于恶性病变．该手术与开腹手术相结合，是彻底切除肿瘤和低位吻合较为理想的手术方式．

TREATMENT OF MID AND LOW RECTAL LESIONS BY TRAN SSACRAL RESECTION

Transsacral resection is a useful method for treating rectal lesions. From sept 1994 to July 1996 transsacral resections were performed in 9 cases with mid and low rectal le-sions , which included 4 rectal cancer, 3 rectal villous adenoma, 1 rectal leiomyosarcoma and 1 be-nign rectal stenosis. Results: All patients were followed up for 2 months to 2 years. Complicated anastomotic leakage was found in 1 case, presacral cavity infection 1 case, postoperative perineal pain 2 cases, and pelvic recurrence 15 months after operation 1 case. In all cases there were no fe-cal incontinence and anastomotic stenosis. Thus, transsacral approach is an operation of choice for benign mid and low rectal lesions. In cases of malignant lesions it can be used in combination with transabdominal operation.