原位肛门整形重建术不同术式及其远期效果的比较研究  

The comparative study on the long-term effect of annus rebuilt in situ with different operation style

作　　者：张本寿[1] 吴允飞[1] 李增男[1] 郑翔[1] 许良标[1] 贾凌[1] 储辉[1] 郑龙坡[1] 邹吉林[1] 

机构地区：[1]中国人民解放军第1OO医院外科,江苏苏州215007

出　　处：《中国美容医学》2006年第9期1022-1023,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:分析3组低位直肠癌Miles术后I期不同术式原位肛门整形重建术的不同远期效果。探讨原位肛门重建功能与结构的关系。方法:3组患者:①单纯重建组:即单纯作肛门外括约肌重建的原位肛门重建组,20例;②联合术组:即采用4项联合术原位肛门重建术组,32例;③改进组:即改进的联合术组,38例。术后3个月起开始随访,随访时间,3个月￣5年以上。并测试其直肠肛管功能及≥5年生存率。结果:3组患者术后进行随访,只有改进组对干稀便皆无失禁。测试其直肠内液体存留时间、肛管静息压、缩窄压、直肠静息压和最大直肠内压等。各项测试结果皆与正常人对照组无显著差异。≥5年生存率达76.32%。结论:3组效果比较,改进组的原位肛门重建术远期效果良好,功能已达到常人水平,说明原位肛门结构重建必需达到功能重建,才能达到正常人生活质量和提高远期生存率。Objective Analysis the 3 groups long-term effect of annus ebuilt in situ with different operations,to explore the relationship between rebuilt structure and its function in annus rebuilt in situ. Methods Three groups cases ： ①simple rebuilt group 20 cases; ②Associated group, 32 cases; （3）Improved associated group 38 cases. three months later of post -operation,3 groups begin follow-up survey with telephone,letter,face to face ,and clinical exams. Results ： groups were incontinance were or less, but the improved group not,so they had their normal life. The static pressure in annus and recus,constictive presure, and makimum retus inner .Pressure all were normally the ≥5 year survival rate were 76.32%. Conclusion It shows that the long-term effect of the improved gnup was good,their function has appnached the normal level. It means that it is necessary for the stuctule rebuilt to had their functional rebuilt,and they could had normal life.

关 键 词：低住直肠癌:Miles术后 Ⅰ期联合术 原位肛门重建术改进 远期疗效 

分 类 号：R657.1[医药卫生—外科学]