双侧股薄肌代括约肌原位肛门再造术的疗效分析  

Curative Effect Analysis of Anus Reconstruction in the Original Position by Means of using Thin Muscles from Both Thighs instead of Sphincters

作　　者：宋吉琦 孙广增[1] 

机构地区：[1]河南省安阳市人民医院普外科,455000

出　　处：《河南外科学杂志》2001年第2期143-144,共2页Henan Journal of Surgery

摘　　要：目的 研究双侧股薄肌代括约肌原位肛门再造术在低位直肠癌术后控制排便的治疗效果。方法 通过近10年来诊治低位直肠癌56例病人,采用双侧股薄肌代括约肌原位肛门再造术,并制定肛门排便功能的临床评定标准,以8分法进行评定,8～6分为优.6～4分为良.4～2分为差.2～0分为无效。术后随访客观分析其疗效。结果 根据评定标准56例病人中优32例,良17例,差5例,无效2例,我们把优及良病例定为有效,总有效率为87.5％。结论 双侧股薄肌代括约肌原位肛门再造术疗效可靠,是人工肛门手术方式中较理想、较科学的术式之一。Objective:To study the curative effect of defecation control after the anus reconstrucion in the original position against rectum cancer in lower positions by means of using thin muscles from both thighs instead of sphincters.Methods:For the past 10 years,56 patients have been cured for rectum cancers in lower positions by means of anus reconstruction in the original position using thins muscles from both thighs instead of sphincters, and clinic evaluation standards of defecation control through anus have been made out. Classification of standards is based on 8-point-system:8-6 points as excellent, 6-4 points as fine,4-2 points as poor,2-0 points as ineffective, and those patients have been evaluated in this way after their operations. Results: Among 56 patients,32 cases as excellent, 17 cases as fine,5 cases as poor,2 cases as ineffective,we classify excellent and fine cases as effective ones, therefore the general effectiveness is proved to be 87.5% . Conclusions: The anus reconstruction in the original positions by means of using thin muscles from obth thighs is reliable, and it is one of the relatively ideal and scientific operations of artificial anuses.

关 键 词：低位直肠癌 人工肛门 股薄肌 

分 类 号：R6[医药卫生—外科学]