一层间断缝合法在低位直肠癌保肛手术中的应用  

Application of single-layer interrupted suture in the anal sphincter reservation for low rectal carcinoma

作　　者：葛海燕[1] 郝振宏[1] 罗云生[2] 唐开业[2] 张朝军[2] 

机构地区：[1]同济大学附属第十人民医院普外科,上海200072 [2]第三军医大学新桥医院普外科,重庆400037

出　　处：《同济大学学报（医学版）》2007年第5期58-60,71,共4页Journal of Tongji University(Medical Science)

摘　　要：目的探讨一层间断缝合法在低位直肠癌保肛手术中的应用价值。方法回顾分析66例低位直肠癌患者采用一层间断缝合法行保肛手术,对术后吻合口并发症、排便功能、局部复发等进行了随访。结果术后发生吻合口瘘1例,无吻合口狭窄,术后排便功能控制好,局部复发3例。结论一层间断缝合法具有操作简便,安全性高,费用低廉,术后并发症少,排便功能控制好等优点,在低位直肠癌保肛手术中仍占有重要地位。Objective To explore the practical value of single-layer interrupted suture in the anal sphincter reservation for low rectal carcinoma. Methods Sixty-six cases of low rectal carcinoma patients with anal sphincter reserved operation were reviewed retrospectively. All the patients were performed low or very lower anterior rectal resection with single-layer interrupted suture. The anastomosis complications, defecation function and regional recurrance were reviewed. Results There were only one case of anastomotic leakage and three cases of regional recurrance in 66 patients. No anastomotic stricture was found. The defecation functions of all patients were normal. Conclusion The single-layer interrupted suture is feasible, economic and convenient procedure in the anal sphincter reserved operation for lowrectal cancer. Few complications develope and anal sphincteral funtion is controlled well after operation.

关 键 词：直肠肿瘤 保留肛门括约肌 术后并发症 一层间断缝合 

分 类 号：R735.37[医药卫生—肿瘤]