拖出式保留括约肌直肠肿瘤切除术53例报告  

Colon Pull Out of the Anal Canal After Sphincter saving Resection for 53 Patients with Rectal Tumor

作　　者：李德川[1] 陈贤贵[1] 陈万源[1] 

机构地区：[1]浙江省肿瘤医院

出　　处：《实用癌症杂志》1997年第3期195-197,共3页The Practical Journal of Cancer

摘　　要：作者报道中低位直肠肿瘤５３例行拖出式保留括约肌切除术，并发症发生率为９．４％。随访３～３９个月，平均１７个月。发现肝、肺转移各２例，未发现局部复发，病人均健在。术后３个月、６个月排便节制功能优良率分别达６０．４％和９２．７％，无大便失禁者。作者着重探讨了该术式切除肿瘤的彻底性、安全性及保留排便节制功能的完整性，从而认为该术式在直肠癌治疗中具有临床实用价值。cases of middle and lowor rectal tumor resected with sphincter saving and colon pulled out were analyzed. The rate of complications of operation is ablout 9.4 percent. The ptients were followed up for 3～39 months (mean of 17 months) and without local recurrence. Two patients were with hepatic metastasis and 2 with pulmonary metastasis. Patients in this group are all alive. The rates of a better control of feces in 3 months and 6 months after operation were 60.4 percent and 92.7 percent, respectively, No fecal incontinence occured in any case. The exhaustiveness and the safety of tumor resection and the intactness of fecal continence of this operation are discussed. This operation has a practical value in the treatment of rectal carcinoma.

关 键 词：直肠肿瘤 保留括约肌 结肠拖出式 外科手术 

分 类 号：R735.370.5[医药卫生—肿瘤]