超低位直肠癌Miles根治术股薄肌Ⅰ期原位肛门重建50例效果分析  

Miles Ultra-low Rectal Cancer Radical Surgery in Stage Ⅰ Gracilis Muscle in Situ Anal Reconstruction Effectiveness Analysis of 50 Cases

作　　者：张国云[1] 潘忠平[1] 葛宁[1] 张小玲[1] 

机构地区：[1]郑州大学附属郑州中心医院,河南郑州450007

出　　处：《中国医学创新》2013年第10期99-100,共2页Medical Innovation of China

摘　　要：目的：分析超低位直肠癌Miles根治术同时行股薄肌Ⅰ期原位肛门再造临床效果。方法：50例超低位直肠癌患者Miles根治术同时行Ⅰ期原位肛门重建,重建内括约肌、直肠瓣、肛管直肠角及外括约肌。结果：50例患者手术均顺利,手术时间90～130min,平均110min,出血量120～180ml,平均150ml。手术后患者恢复排便感觉及控制排便时间为6～60d,平均33d,均无夜间静息性排便,术后3个月无大便失禁,排便功能总优良率达93.82%。直肠角静息压、内外括约肌平均压差及钡剂在直肠平均存留时间基本接近正常。结论：超低位直肠癌Miles根治术股薄肌Ⅰ期肛门重建既完成了直肠癌根治,又解决了排便问题,患者生存质量得到明显提高,是一种安全有效的手术方法。Objective： To analyze the clinical effects of Miles＇operation for ultra-low rectal cancer patients with radical cure at the same time to reconstruct by gracilis muscle in situ at phase Ⅰ. Method： 50 patients with ultra-low rectal cancer were operated on Miles＇operation at the same time to reconstruct anus in situ at Phase Ⅰ, reconstructed internal sphincter and rectal valve and anorectal angle and external sphincter. Result： 50 patients were operated successfully, and the average time of operation was 110 min （ 90-130 min ）, the average bleeding was about 100 ml （ 120-180 ml ） . The patients took for 6 to 60 days, with the average of 33 days, recovered their senses and control of defecation without resting defecation during night and without gatism 3 months after the operation. The ratio of fine defecation＇s function was 93.82%. Rectal angle resting pressure, internal and external sphincter pressure and an average of barium in the rectum closed to the normal average lifetime. Conclusion： Miles＇operation for ultra-low rectal cancer patients with radical cure at the same time to reconstruct by gracilis muscle in situ at phase Ⅰ not only completes the colorectal cancer, but also solves the defecation problem. The quality of life in patients is conspicuously improved and it is a safe and effective surgical method.

关 键 词：超低位直肠癌 股薄肌 Ⅰ期肛门重建 

分 类 号：R735.37[医药卫生—肿瘤]