Parks手术在低位直肠癌术中的保肛作用  被引量：9

e role of the sphincter presening with Parks operation in low rectal cancer</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=1001083386' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('L/TRNcl+RJsg63vTVlB1F+gmw6nMWWn0yiVR8W8x6IG7+epHzI916w==')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="L/TRNcl+RJsg63vTVlB1F+gmw6nMWWn0yiVR8W8x6IG7+epHzI916w=="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000001590124' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e9%82%b1%e8%be%89%e5%bf%a0%5d' title='邱辉忠[1]'>邱辉忠[1]</a> <a href='/writer/article.aspx?id=100000004013884' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e6%9e%97%e5%9b%bd%e4%b9%90%5d' title='林国乐[1]'>林国乐[1]</a> <a href='/writer/article.aspx?id=100000035004482' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%90%b4%e6%96%8c%5d' title='吴斌[1]'>吴斌[1]</a> <a href='/writer/article.aspx?id=100000008089623' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%85%b3%e7%ab%9e%e7%ba%a2%5d' title='关竞红[1]'>关竞红[1]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=57801&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e4%b8%ad%e5%9b%bd%e5%8c%bb%e5%ad%a6%e7%a7%91%e5%ad%a6%e9%99%a2%e4%b8%ad%e5%9b%bd%e5%8d%8f%e5%92%8c%e5%8c%bb%e7%a7%91%e5%a4%a7%e5%ad%a6%e5%8c%97%e4%ba%ac%e5%8d%8f%e5%92%8c%e5%8c%bb%e9%99%a2%e6%99%ae%e5%a4%96%e7%a7%91' title='[1]中国医学科学院中国协和医科大学北京协和医院普外科,北京100730'>[1]中国医学科学院中国协和医科大学北京协和医院普外科,北京100730</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=88329X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e7%99%8c%e7%97%87%e8%bf%9b%e5%b1%95%5d' title='癌症进展'>《癌症进展》</a>2004年第6期420-422,共3页<em>Oncology Progress</em></p><p class='abstrack'><strong>摘　　要：</strong>目的 探讨Parks手术在低位直肠癌术中的保肛作用及一些相关问题。方法 回顾分析自1991年5月至2004年6月共33例Parks手术病人的临床资料。结果 全组手术进程顺利,术后并发吻合口漏和吻合口出血各1例。按Parks制定的标准,本组病人术后肛门功能优良率为89.2％,肿瘤术后局部复发率为6.2％,3年存活率为87.5％,5年存活率为65.4％。结论 Parks手术应为低位直肠癌保肛手术的首选术式。<em><abstract>jective To evaluate the role of the sphincter preserving with Parks operation in the low rectal cancer and some problems related to the operation. Methods The clinical data of 33 cases with Parks operation between May 1991 to June 2004 were reviewed retrospectively. Results Total of the operations were performed smoothly. Complications included anastomotic leakage and anastomotic bleeding in one respectively. According to the criterion of anal function by Parks, the satisfactory rate of anal function after operation was 89.2% in this group. Local recurrence rate was 6.2% . The 3-year and 5-year survival rate were 87.5% and 65.4% respectively . Conclusion Sphincter preserving surgery with Parks operation was always chosen firstly in the low rectal cancer.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=1505231' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e7%9b%b4%e8%82%a0%e7%99%8c%5d' title='直肠癌'>直肠癌</a> <a href='/subject/article.aspx?id=4903948' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e7%bb%93%e8%82%a0%e8%82%9b%e7%ae%a1%e5%90%bb%e5%90%88%e6%9c%af%5d' title='结肠肛管吻合术'>结肠肛管吻合术</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR735.37' title='R735.37'>R735.37</a>[<a href = '/domain/article.aspx?id=503' >医药卫生—肿瘤</a>] </p> </div> <div id="content_wzxg" name="wzxg" class="article-graph"> <object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="FlashID"> <param value="../flash/relation.swf" name="movie"> <param value="high" name="quality"> <param value="opaque" name="wmode"> <param value="6.0.65.0" name="swfversion"> <param value="dataUrl=/ajax/articlerelativegraph.ashx?id=1001083386" name="flashVars"> <embed width="695" height="250" src="../flash/relation.swf" type="application/x-shockwave-flash" quality="high" wmode="opaque" flashvars="dataUrl=/ajax/articlerelativegraph.ashx?id=1001083386"> </embed> </object> </div> <div class="article-relate-list"> <div class="relate-list"> <p id="ckwx_br"> </p> <h2 name="ckwx" id="ckwx">参考文献：</h2> <div id="listckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jckwx_br"> </p> <h2 name="2jckwx" id="2jckwx">二级参考文献：</h2> <div id="list2jckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="ohwx_br"> </p> <h2 name="ohwx" id="ohwx">耦合文献：</h2> <div id="listohwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="yzwx_br"> </p> <h2 name="yzwx" id="yzwx">引证文献：</h2> <div id="listyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jyzwx_br"> </p> <h2 name="2jyzwx" id="2jyzwx">二级引证文献：</h2> <div id="list2jyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="tbywx_br"> </p> <h2 name="tbywx" id="tbywx">同被引文献：</h2> <div id="listtbywx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="xgqklw_br"> </p> <h2 name="xgqklw" id="xgqklw">相关期刊文献：</h2> <div id="listxgqklw"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> </div> </div> <div class="article-about"> <div class="about-box"> <h5 class="name">相关的主题<tt><a class="hide" href="#"></a></tt></h5> <div class="about-list"> </div> </div> <div class="about-box"> <h5 class="name">相关的作者对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> <div class="about-box"> <h5 class="name">相关的机构对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> </div> </div> </div> <script type="text/javascript" src="/scripts/articlerelation.min.js"></script> <script type="text/javascript" src="/scripts/articlerightrelation.min.js"></script> <script type="text/javascript" src="/scripts/articledown.min.js"></script> <div class="layer-box download" id="downloadlayer" style="display: none"> <div class="close"> <a onclick="closedown()" href="javascript:void(0)"> <img src="/images/layer-close.png" width="21" height="21" alt="" /> </a> </div> <h5 class="layer-title">下载全文</h5> <div id="downloadinfo"></div> </div> <div class="layer-box download" id="downloadlayer2" style="display:none;min-height:100px;width:500px;"> <p> <img src="/images/loading2.gif" width="64" height="64"> <span style="font-size:20px;vertical-align:middle;padding-bottom:50px;">正在链接到云南高校图书馆文献保障联盟下载...</span> </p> </div> <script id="bdshare_js" data="type=tools&uid=0" type="text/javascript"></script> <script type="text/javascript"> $(function () { var rd = GetQueryString("rd"); 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