低位直肠癌切除术后影响功能因素分析及对策  

The analysis of factors on anal function and its countermeasure after sphincter-preserving surgery in low rectal cancer

作　　者：朱晓明[1] 张卫[1] Zhu Xiaoming;Zhang Wei(The Colorectal Surgery Department,Changhai Hospital Affiliated to the Second Military Medical University,Shanghai 200433,China)

机构地区：[1]第二军医大学附属长海医院肛肠外科

出　　处：《中华结直肠疾病电子杂志》2019年第3期221-226,共6页Chinese Journal of Colorectal Diseases(Electronic Edition)

基　　金：上海市科委医学引导项目(No.134119a3800);上海申康医院发展中心临床科技创新项目(No.SHDC12016122)

摘　　要：直肠癌是常见的消化道恶性肿瘤,在我国多数是位于腹膜返折以下的低位直肠癌。近年来,随着直肠癌理论研究的深入和手术技术的提高,低位直肠癌保肛手术率在逐年上升。目前临床上常用的保肛术式有低位前切除术(LAR)、经括约肌间切除术(ISR)等,但保肛术后出现的各种肛门功能问题一直困扰着患者和医生。笔者通过回顾文献并结合自身经验就低位直肠癌保肛术后影响肛门功能的因素及处理对策进行探讨。Rectal cancer is a common intestinal malignant tumor in China and most of them are low rectal cancer which located under the peritoneal reflection. For the past few years, the rate of sphincter-saving is increased significantly due to the development of theory and surgical skill. At present, the low anterior resection and the intersphincter resection are widely used as the sphincter-preserving surgery. However, a variety of problems in anal function perplex patients and surgeons. In this article, we will investigate the factors on anal function and its countermeasure after sphincter-preserving surgery based on literature review and our experience.

关 键 词：直肠肿瘤 低位直肠癌 肛门功能 低位前切除术 经括约肌间切除术 腹会阴联合切除术 

分 类 号：R735.37[医药卫生—肿瘤]