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结肠成形术在低位直肠癌保肛手术中的应用研究 被引量：3

Application of coloplasty pouch to sphincter-preserving surgery in patients with lower rectal cancer
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摘要 目的观察结肠成形术在低位直肠癌保肛手术中的应用价值。方法观察组34例(结肠成形术低位直肠或肛管吻合)和对照组42例(结肠与远端直肠或肛管直接吻合)两组患者肛门控便功能恢复情况及并发症发生率。结果肛门功能观察组大便控制明显优于对照组,术后6个月观察组平均3次/d,对照组平均8.5次/d;术后12个月观察组平均1.5次/d,对照组平均5次/d,两组比较差异有统计学意义(P<0.01)。结论结肠成形术后肛门功能恢复明显优于直接吻合组。 Objective To observe the clinical value of sigmoid coloplasty in the lower rectal cancer surgery. Methods Thirty four patients underwent sigmoid coloplasty（treatment group）while 42 patients received straight sigmoidorectostomy（control group）. Anal function and complication rate were assessed and compared between the two groups. Results Average stool frequency were 3 times a day in the observation group and 8.5 times a day in the control group after 6 months. Average stool frequency was 1.5 times a day in the experimental group and 5 times a day in the control group after 12 months. There was significant difference between the two groups 12 month after operation（P〈0. 01 ）. Conclusion Compared with straightsigmo-idorectostomy, coloplasty pouch applied in the lower rectal cancer surgery can significantly improve the anal function without increasing complication rate.
作者 孙玉宝 郭澎
机构地区 潍坊医学院 潍坊市人民医院肛肠外科
出处 《成都医学院学报》 CAS 2010年第1期43-45,共3页 Journal of Chengdu Medical College
关键词 结肠成形术 低位直肠癌 保肛手术 肛门功能 coloplasty pouch lower rectal cancer sphincte-preserving surgery anal function
分类号 R735.37 [医药卫生—肿瘤]
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参考文献12

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二级参考文献22

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共引文献12

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二级引证文献9

成都医学院学报
2010年 第1期

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