内括约肌切除术用于超低位直肠癌研究进展  

Progress of intersphincter resection with direct coloanal anastomosis for ultra-low rectal cancer

作　　者：陶昀璐[1] 王振军[1] 

机构地区：[1]首都医科大学附属北京朝阳医院普通外科,100020

出　　处：《中华胃肠外科杂志》2013年第12期1226-1229,共4页Chinese Journal of Gastrointestinal Surgery

摘　　要：近年来，在保证根治性的前提下，保留肛门功能和改善患者的术后生活质量成为低位直肠癌治疗的重要目标。对于距离齿状线小于2cm或距肛缘5cm内的超低位直肠癌，传统的腹会阴联合切除术使患者承受永久性造口的痛苦，而内括约肌切除术（ISR）解决了部分超低位直肠癌患者，因切除肛门及永久性造口而导致生活质量较差的问题。本文将对ISR的研究现状、适应症、手术进展及预后等结合现有文献作一综述。In recent years, sphincter preservation and improvement of quality of life have become the primary goals in the management of low-lying rectal cancer. For lesions within 2 cm from the dentate line or more than 5 cm from the anal margin, abdominoperineal resection results in permanent stoma creation while intersphincteric resection （ISR） provides solution to sphincter function preservation and improved quality of life. This review was to summarize the current literature pertaining to this procedure, including current research progress, indications, development of ISR procedure, oncological and functional outcomes.

关 键 词：直肠肿瘤 超低位 内括约肌切除术 研究进展 

分 类 号：R735.37[医药卫生—肿瘤]