摘要
目的 探讨行经腹肛拖出式直肠癌手术的同时 ,切断肛门括约肌和肛管直肠环 ,以防术后出现肠管坏死的可行性。方法 对 46例直肠癌患者行经腹肛拖出式直肠癌手术的同时 ,切断肛门括约肌和肛管直肠环 ,并就其方法、结果进行回顾性分析。结果 本组 46例 ,术后拖出肛门的肠管血液供应均良好 ,无 1例出现肠管缺血坏死。结论 术中切断肛门括约肌和肛管直肠环法 ,是预防经腹肛拖出式直肠癌术后肠管坏死的有效方法 ,一般术后不会出现肛门长久性的大便失禁。
Objective To investigate the prevention of gangrene of exteriorized colon following transabdomino-perineal saving sphincter resection of rectal cancer. [WT5”HZ]Methods From Aug. 1988 to Feb. 2000, 46 cases of cancer of the rectum were treated by transabdomino-perineal saving sphincter with severing the anal sphincters and anorectal ring. During this procedure the anal sphincters and anorectal ring were severed to prevent gangrene of the exteriorized colon. Results In these cases, the exteriorized sigmoid colon had good blood supply and no gangrene was found. [WT5”HZ]Conclusion This method can effectively prevent the gangrene of exteriorized sigmoid colon stump and gives no permanent fecal incontinence.
出处
《中国普外基础与临床杂志》
CAS
2000年第6期375-376,共2页
Chinese Journal of Bases and Clinics In General Surgery
