自体平滑肌移植节制性结肠造口的康复效果  

The Contienent Colostomy with autograft of smooth muscle

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作  者:李光华[1] 吴允明[1] 程庆君[1] 刘生光[1] 李仕青[1] 骆杰[1] 杨永康[1] 

机构地区:[1]蚌埠医学院附属医院外科,蚌埠233004

出  处:《现代康复》1997年第4期285-286,共2页Modern Rehabilitation

摘  要:目的:直肠癌Miles术后用自体平滑肌移植以建造节制性结肠造口。方法:1981-06~1997-06,82例直肠癌行自体平滑肌移植节制性结肠造口;用Schmidt手术,取一段正常的乙状结肠去除系膜脂肪和粘膜,行节制性腹壁结肠造口。结果:粪便节制率78.1%(64/82),患者不需要长时间使用造口用具;3例移植物感染,坏死后去除;无手术死亡率;无功能丧失。结论:该方法术后功能良好,并发症很少;推荐使用自体平滑肌括约肌成形用于直肠癌节制性结肠造口,康复效果良好。Autograft of smooth muscle was used for abdominal wall comtinent colostony in Miles operation of the rectal cancer. Methods: Continent colostomy was performed in 82 cases from June 1981 to June 1997 with autograft of smooth muscle. In sphincteroplasty, a normal segment of colon, 10cm in length, freed from mesenteric fat and mucosa were taken to make a continent colostomy on abdominal wall with Schmidt opera tion. Results: The patients achieved continence in 78. 1% (64/82) . Stool bags were no longer necessary after operation. Removal of the graft was necessary only in 3 of 82 cases due to the necrosis. The surgical mortality rate was zero. No disfunction in continence of the sphincter were seen. Conclusions: Postoperative function was favorable and complication low.Autograft of smooth muscle was therefore recommended in colostomy of rectalcancer.

关 键 词:平滑肌移植 康复效果 节制 自体 MILES术后 腹壁结肠造口 移植物感染 手术死亡率 直肠癌 乙状结肠 功能丧失 术后功能 并发症 括约肌 去除 

分 类 号:R735.370.5[医药卫生—肿瘤] R167[医药卫生—临床医学]

 

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