直肠癌Miles术会阴创口的处理  

Treatment of the perineum wound following Miles' operation for rectum carcinoma

作　　者：黄烨[1] 王向阳[1] 

机构地区：[1]华中科技大学同济医学院附属荆州医院胃肠外科,湖北省荆州市434020

出　　处：《世界华人消化杂志》2007年第28期3020-3024,共5页World Chinese Journal of Digestology

摘　　要：直肠癌Miles术会阴创口的处理主要有纱布填塞敞开引流和一期缝合两种基本方法.我们综合近20年来在此方面研究的大量文献报道,总结了两种方法的适应症和操作要点,评价了两种方法的优缺点,分析了会阴创口一期愈合的影响因素及防治措施,并提出了纱布填塞敞开引流法的改进方法.There are two fundamental methods （placing wadding pledgets before opening outflow and primary suture） for treating the perineum wound following Miles＇ operation for rectum carcinoma. We review the great quantity of documents and reports from the last two decades on treating the perineum wound in Miles＇ operation for rectum carcinoma, summarize the indications and main procedure points, appraise the advantages and disadvantages of each approach, analyze the influential factors and measures of prevention and cure （that is, primary healing of the perineum wound）, and introduce the ameliorative method of placing wadding pledgets before opening outflow.

关 键 词：直肠癌 MILES术 会阴创口 

分 类 号：R735.37[医药卫生—肿瘤]