双吻合器吻合法在部分低位直肠癌保肛手术中的应用  

EXPERIENCE OF USING DOUBLE STAPLING TECHNIQUE FOR ANUS-SAVING IN PARTIAL PATIENTS WITH LOW RECTAL CANCER

作　　者：杨欣荣 董瑞华 单志强 

机构地区：[1]江苏省通州市第三人民医院普外科,226311

出　　处：《中国煤炭工业医学杂志》2002年第11期1089-1090,共2页Chinese Journal of Coal Industry Medicine

摘　　要：目的　评价双吻合器吻合法在部分低位直肠癌保肛手术应用中的安全性和有效性。方法　回顾总结 4年间采用该技术行低位直肠癌手术 38例。DukesA期 2 0例 ,DukesB期 18例。肿瘤距齿状线 3～ 4cm 2 1例 ,4～ 5cm 17例。结果　直肠闭合和肠吻合过程顺利 ,未发现吻合口裂开。全组患者均获随访 ,发生吻合口狭窄 2例 ( 5.3%) ,直肠阴道瘘 1例 ( 2 .6 %) ,无局部复发。术后 3～ 6个月排便控制功能满意。Objective To evaluate the safety and efficacy of double stapling technique (DST) in anus-saving operations for partial patients with low rectal cancer. Methods In four years, the technique was used in thirty-eight patients with low rectal cancer including 20 cases of Dukes A, 18 cases of Dukes B. The distance between the dentate line and the lower margin of the tumor was 3cm～4cm (21 cases) and 4cm～5cm (17cases). Results Thirty-eight patients were operated successfully with the technique above mentioned. All patients were followed up and complications included anastomotic stenosis in 2 cases (5.3%), and rectumvagina fistuall in 1 case (2.6%). Local recurrence wasn't found. Defecation was under satisfactory control after 3～6 months of operation. Conclusion These results suggest that DST provided a safe alternative for anus-saving operation in partial patients with low rectal cancer.

关 键 词：双吻合器法 低位直肠癌 保肛手术 手术方法 

分 类 号：R735.37[医药卫生—肿瘤]