全结肠直肠切除、回肠代直肠的远期疗效观察  

Long-term Results of total proctocolectomy and rectal reconstruction with ileal-anal anastomosis

作　　者：吴性江[1] 邹忠寿[1] 黎介寿[1] 韩建明[1] 

机构地区：[1]南京军区南京总医院腹部外科,210002

出　　处：《普外临床》1995年第2期106-107,共2页

摘　　要：1979～1994年,作者采用全结肠直肠切除、回肠代直肠治疗慢性溃疡性结肠炎及结肠息肉病30例。手术分两期进行,一期手术须加作回肠造瘘,二期手术行回肠代直肠26例。其中,行回肠造瘘袋者14例。术后所有患者均有排便功能和便意感,行回肠造袋者的排便次数和粪污均好于未造袋者。研究结果表明:全结肠直肠切除、回肠代直肠术完全切除了病变及潜在病变的肠段,同时保留了肛门排便功能。回肠造袋对控制排便有一定的作用。From 1979 to 1994,total proctocolectomy and rectal recon- struction with ileal-anal anastomosis were performed on 30 pa- tients with chronic ulcerative colitis or multiple polyposis.The op- erative procedure consisted of two stages.In the first stage,the ileostomy were carried out in all patients.In the second stage,the ileal-ileal anastomosis was completed in 26 patients,with ileal pouch constructed in 14 patients,and direct ileal-anal anastomosis constructed in 12.Four patients were shifted to permanent ileostomy for complications such as stenosis in the ileal anal anas- tomosis,the pelvic abscess and intractable pouchitis.It was found that pouch functions better titan direct ileal-anal anastomo- sis in terms of daily bowel movement times,feceal continence, and night seepage.

关 键 词：结肠炎 溃疡性 息肉 结肠切除术 结肠肿瘤 疗效 

分 类 号：R574.620.5[医药卫生—消化系统] R735.350.5[医药卫生—内科学]