Parks手术结合结肠成形在低位直肠癌保肛手术中的应用  

作　　者：赵建民[1] 

机构地区：[1]山东省青州荣军医院外科,262500

出　　处：《当代医学》2012年第26期102-103,共2页Contemporary Medicine

摘　　要：目的探讨Parks手术结合结肠成形在低位直肠癌保肛手术中的应用价值。方法回顾性分析2009年2月～2011年10月在山东省青州荣军医院外科行直肠癌保肛手术患者64例临床资料。结果本组病例均获得随访,其中术后发生吻合口瘘3例(4.7%),吻合口狭窄2例(3.1%),出现局部复发1例(1.6%);术后6个月统计每日排便次数:1～2次/d48例,占75.0%,3～4次/d13例,占20.3%,>4次3例,占4.7%;术后12个月统计每日排便次数:1～2次/d61例,占95.3%,3～4次/d3例,占4.7%。患者手术前后的比较差异有统计学意义(P<0.05)。结论应用经肛门结肠肛管吻合(Parks手术)结合结肠成形术能重新建立患者良好贮粪功能,明显改善患者保肛术后的排便功能,较单纯肛管吻合术优越性明显,是低位直肠癌保肛手术的首选术式。Objective To investigate the Parks surgery combined with colon forming in rectal cancer surgery.Methods Aretrospective analysis of 64 cases in the hospital 2 lines of rectal cancer surgery in February 2009 to October 2011 clinical data.Results The patients were followed up.Among them,the postoperative anastomosis fistula in 3 cases（4.7%）,anastomotic stenosis in 2 cases（3.1%） had local recurrence one cases（1.6%）;after 6 month statistics daily number of bowel movements 1～2 times /d 48 cases,accounting for 75.0%,3～4 times /d 13 cases,accounting for 20.3%,4 times and 3 cases（4.7%）;12 months after operation statistics of daily number of bowel movements 1～2 times /d61 cases,accounting for 95.3%,3～4 times /d3,cases,accounting for 4.7%.Patients before and after difference was statistically significant（P0.05）.Conclusion Transanal coloanal anastomosis（Parks operation） combined with colon forming anal anastomosis surgery to re-establish good storage in patients with fecal function,significant improvement in anal sphincter preservation in patients with postoperative bowel function than a simple superiority obvious.It is the preferred technique for low rectal cancer surgery.

关 键 词：低位直肠癌 保肛手术 PARKS手术 结肠成形术 肛门功能 

分 类 号：R735.37[医药卫生—肿瘤]