直肠癌切除术后股薄肌移植肛门原位重建远期疗效
The Forward Curative Effect of Transplanting and Original Anus Reconstructing after the Resection of the Carcinoma of the Rectum
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摘要: 本文报告1982～1985年对直肠癌采用经腹会阴联合切除,同时施行一侧股薄肌移植,括约肌成形,肛门原位重建术18例的远期疗效。重点介绍了手术方法和要点,本手术在张庆荣氏介绍的手术方法上有所改进。本组病例术后5、10年生存率分别为72.2%和50%。术后生存率与Duke's分级及有无淋巴结转移有关。术后1、5年重建肛门功能优良率分别为73.3%和92.3%。术后肛门功能的恢复与手术者的操作技巧、术后恢复的时间及患者饮食规律、功能锻练有关。本手术方法简单,且重建肛门保持了正常的生理解剖位置,方便卫生。效果好,符合病人心理,解除了做腹部人工肛门的痛苦,患者乐意接受,手术值得推广。Abstract: The forward curative effect of 18 cases of the carcinoma of the rectum from 1982 to 1985 adopting resection of perinum and rectum through abdomen,meanuhile performing oneside transplanting,sphicter shaping and original anus reconstructing was reported.The survial rate of five and ten years after operation was 72.2% and 50% respectively.This rate is related to Duke;s grade and metastasis of lymph node.The functional excellence rate of reconstnured anus one and five years after operation was 73.3% and 92.3% separately.The functional recovery of anus is related to operational technigue,recovring time after performing and regularity of patiendiet functional training.
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