摘要
本文介绍低位直肠癌经腹会阴根治术,会阴部人工肛门成型术的手术方法及其优点。本手术在切除肿瘤后,将残端结肠人工使其套叠一部分,造成肠腔狭窄,再将其断缘的粘膜剥除2cm,所余浆肌层向外翻卷1周至1周半即成人工肛门。通过会阴创口将其固定在会阴部。3个月后“人肛”有类似正常肛门的作用,控制力满意,粪便多可1次排尽(65％)。同时讨论了手术并发症及其预防措施。作者通过20例的总结认为本术式有临床应用价值。
Twenty cases of lower rectum cancer were treated with this technic which meant that after removal of the specimen the stump of the remaining colon should be turn- ed back to form a cuff by which procedure the opening is narrowed. Then the mar- gin of the mucous membrane of the cuff is sutured to the perineal wound. With a lapse of three months, function of the reconstructed anus usually restored so as con- sciousness to defecation behaved normally and function of control defecation satisfac- tory. Furthermore, in most of the patients bowel movement could be limited to once daily.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
1989年第6期339-341,共3页
Chinese Journal of Clinical Oncology
关键词
直肠癌
人工肛门
成型术
Lower rectum cancer
Radical abdomino-perineal resection
Artificial perineal anus
