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低位直肠癌切除即时原位肛门重建术
引用本文:张本寿,吴允飞,陈淑章.低位直肠癌切除即时原位肛门重建术[J].中华整形外科杂志,2000,16(2):102-104.
作者姓名:张本寿  吴允飞  陈淑章
作者单位:解放军第一医院外科(张本寿!215007苏州,吴允飞!215007苏州,陈淑章!215007苏州,付传中!215007苏州,周永年!215007苏州,黄达权!215007苏州),上海第二军医大学长征医院整形外科(林子豪)
摘    要:目的 探讨低位直肠癌行Miles根治术后即时行原位肛门重建的方法。方法 采用股薄肌移转和乙状结肠末端套叠法重建肛门外,内括约肌,辅以人工直肠瓣,并建立直肠角。结果 原位重建肛门32例,功能优良率达90.63%。结论 本法适用于低位直肠癌,肛管癌根治术及其他原因所致的肛门功能丧失者。

关 键 词:低位直肠癌  Miles根治术  原位肛门重建术
修稿时间:1998-03-23

Reconstruction of anus in low rectum cancer operation\
B Zhang,R Wu,S Chen.Reconstruction of anus in low rectum cancer operation\[J].Chinese Journal of Plastic Surgery,2000,16(2):102-104.
Authors:B Zhang  R Wu  S Chen
Institution:Department of Surgery, 100th Hospital of People's Liberation Army, Suzhou 215007, PR China.
Abstract:Objective\ While low rectum cancer being resected with Mile's operation,the anus was reconstructed in situ simultaneously.Methods\ Thirty cases of artificial anus were perfectly reconstructed in situ with transferring of the gracilis and invaginating of the end of the sigmoid for the outer and inner sphincter of the anus.The artificial rectum valve was used for the rectum angle.Results\ The rate of excellent and good operative results reached 90\^63%.Conclusion\ The results show that this method is suitable for radical operation of low rectum cancer and functional incapacitation of the anus from other diseases as well
Keywords:In situ reconstruction  \ Mile's operation  \ Rectum cancer  \ Gracilis muscle
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