低位直肠癌保肛手术前后肛肠测压的探讨  

Changes of Anorectal Pressure before and after Preserved-anus Procedure for Low Rectal Carcinoma, and their Clinical Significance

作　　者：张丽华[1] 马红丽[1] 应晓江[1] 李振军[1] 周菊珍[1] 单水阳[1] 

机构地区：[1]浙江省绍兴市人民医院/浙江大学绍兴医院,浙江绍兴312000

出　　处：《中国肛肠病杂志》2013年第8期26-27,共2页Chinese Journal of Coloproctology

摘　　要：为探讨低位直肠癌保肛手术前、后肛肠测压结果的变化，选择适合行保肛手术的80例直肠癌（癌肿距肛缘3～7cm）患者进行研究，分别于术前及术后1个月测定患者的肛管静息压、肛管最大收缩压及直肠最大耐受容量，并进行对比分析。结果显示，低位直肠癌患者肛管静息压、肛管最大收缩压、直肠最大耐受容量较正常人均有不同程度的降低，但仍在正常参考值范围内；术后肛管静息压和直肠最大耐受容量进一步降低，肛管最大收缩压稍有恢复。结果表明，低位直肠癌可引起肛肠测压结果的改变，术后肛门功能的评定需在对比手术前后肛肠测压结果的同时，对照健康人群的正常参考值。This study was to observe the changes of cedure for low rectal carcinoma, and explore their anorectal pressure before and after preserved-anus pro- clinical significance. Authors selected 80 patients with rectal carcinorna（far from 3-7cm of anus margin） available to be subjected to preserved-anus procedure and enrolled them in this study, measured their anal rest pressure, anal maximum systolic pressure and rectal maximum tolerace volume before operation and at 1 month after operation,then compared and analyzed da- ta. As results, above-mentioned three items（indexes） of patients were all decreased than reference value of normal person at different degree,but still in normal range;But after operation patient＇s anal rest pressure and rectal maximum tolerance volume were further decreased, meanwhile anal maximum systolic pressure was slightly returned. Results show that low rectal carcinoma can bring the changes of anorectal pressure, hence,for evaluating postoperative anal function it should be to compare patients pre- and post-operative pressures, and to take the reference value of health population as control.

关 键 词：低位直肠癌 肛肠测压 术前 术后 

分 类 号：R473.73[医药卫生—护理学]