家族性结肠息肉病外科治疗体会（附23例报告）  

Surgical Treatment of Familial Polyposis Coli. A Report of 23 Cases

作　　者：姜玉成[1] 

机构地区：[1]山东医科大学附属医院

出　　处：《中国肿瘤临床》1995年第5期342-344,共3页Chinese Journal of Clinical Oncology

摘　　要：报道了２３例家族性结肠息肉病的外科治疗。根据病变程度、肿瘤分布部位、癌变情况，选用了不同的手术方式，收到较好的治疗效果。其中１０例未发生癌变者，８例作了全结肠切除回肠直肠吻合术，２例直肠病变较广泛而作了全结肠切除、直肠粘膜剥脱、回肠肛管吻合术。已发生癌变的１３例，全部作了全结肠切除回肠腹壁造肛术。本文并对各术式的优缺点及并发症的预防和处理进行了探讨。From 1985 to 1993, 23 cases of familial polyposis coil were treated surgically. Different approaches were chosen according to the location of lesions, with or without canceration. Good therapeutic results have been achieved. In 10 cases without canceration, 8 underwent total colectomy and ileoproctostomy, 2 extensive rectal lesions had total colectomy in addition to stripping of rectal mucosa and ileo-anal anastomosois. Thirteen cases with malignant change all underwent total colectomy and abdominal ileostomy. All the 23 cases had a good prognosis. Discussions were made in this paper as to the merits and shortcomings of the various surgical approaches as well as the prevention and management of complications.

关 键 词：结肠切除 造肛术 结肠肿瘤 息肉 家族性 

分 类 号：R735.350.5[医药卫生—肿瘤]