直肠癌低位前切除术吻合方式优化对肛门功能保护研究进展  

Progress of the protection of anal function by optimizing anastomosis method after anterior resection for rectal cancer

作　　者：杨自杰 屈莲平 杨增强 归明彬 邹敏 杨康 王得晨 高峰 Yang Zijie;Qu Lianping;Yang Zengqiang;Gui Mingbin;Zou Min;Yang Kang;Wang Dechen;Gao Feng(Ningxia Medical University,Yinchuan 750004,China;Department of Coloproctology,the 940 th Hospital of Joint Logistics Support Force of Chinese People’s Liberation Army,Lanzhou 730050,China)

机构地区：[1]宁夏医科大学研究生院,银川750004 [2]中国人民解放军联勤保障部队第九四〇医院结直肠肛门外科,兰州730050

出　　处：《中华普通外科学文献（电子版）》2023年第1期65-68,共4页Chinese Archives of General Surgery(Electronic Edition)

基　　金：甘肃省科技重点研发计划(20YF8FA098)。

摘　　要：外科手术是治疗直肠癌的重要方式。直肠癌低位前切除术常规端端(SCA)吻合方式有80%~90%的患者术后出现不同程度的排便功能障碍,这些症状会长期存在或术后需要较长时间恢复,严重影响患者生活质量,统称为低位前切除术后综合征(LARS)。为了改善LARS,临床提出了三种优化吻合方式:结肠J型储袋吻合术(CJP)、结肠成形术(TCP)、端侧吻合术(SEA)。目前关于吻合方式对患者术后肛门功能影响的争议尚未消除,近年来一些关于优化吻合方式的研究结果已显现出优势,为直肠癌术后患者提供更好的功能保护,改善生活质量。Surgery is an important treaetment for rectal cancer. About 80%-90% patients with conventional straight colorectal anastomosis(SCA) in anterior resection of rectal cancer have different degrees of defecation dysfunction. The low anterior resection syndrome(LARS) will exist for a long time or take a long time to recover after operation, which seriously affects the quality of life of patients. In order to improve LARS, three optimized anastomosis methods are put forward: colonic J-pouch anastomosis(CJP),transverse coloplasty pouch anastomosis(TCP), side-to-end anastomosis(SEA). At present, the controversy of anastomosis method on postoperative function of patients has not been eliminated. Some recent researches show advantages with optimized anastomosis method, providing better functional protection and improving quality of life for patients with rectal cancer after surgery.

关 键 词：直肠肿瘤 低位前切除术后综合征 吻合方式 优化 

分 类 号：R735.37[医药卫生—肿瘤]