腹腔镜直肠癌腹会阴联合切除术后盆底腹膜重建技术的研究进展  

Research progress of pelvic floor peritoneal reconstruction after laparoscopic abdomino-perineal resection

作　　者：蒋自立(综述) 朱勇(审校)[2] JIANG Zili;ZHU Yong(Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210022,China;Department of Anorectal Surgery,Nanjing Hospital of Chinese Medicine affiliated to Nanjing University of Chinese Medicine,Nanjing,Jiangsu 210022,China)

机构地区：[1]南京中医药大学,江苏南京210022 [2]南京中医药大学附属南京中医院肛肠科,江苏南京210022

出　　处：《现代医药卫生》2024年第3期468-471,共4页Journal of Modern Medicine & Health

摘　　要：探讨低位直肠癌经腹会阴联合切除术后盆底腹膜重建的方法及意义。通过检索直肠癌术后盆底结构重建技术及盆底腹膜重建相关文献,复习直肠癌盆底重建技术发现,直肠癌腹腔镜腹会阴联合切除术后关闭盆底腹膜是有必要的,虽然增加了外科医师的手术难度,但可减少盆腔及会阴区域感染、肠粘连、肠梗阻及放射性肠炎发生率,提高患者生活质量。该文对盆底结构重建方法及盆底腹膜重建的方法及优缺点进行了综述。To explore the method and significance of pelvic floor peritoneal reconstruction after abdomino-perineal resection for low rectal cancer.By searching the literature on pelvic floor structure reconstruction and pelvic floor peritoneum reconstruction after rectal cancer surgery,and reviewing the pelvic floor reconstruction technology of rectal cancer,it is found that it is necessary to close the pelvic floor peritoneum after laparoscopic abdomino-perineal resection of rectal cancer.Although it increases the difficulty of surgery for surgeons,it can reduce the incidence of pelvic and perineal infection,intestinal adhesion,intestinal obstruction and radiation enteritis,and improve the quality of life of patients.This article reviews the methods of pelvic floor reconstruction and pelvic floor peritoneal reconstruction and their advantages and disadvantages.

关 键 词：重建盆底腹膜 肌皮瓣 腹会阴联合切除术 生物补片 腹腔镜腹会阴联合切除术 综述 

分 类 号：R730.56[医药卫生—肿瘤] R735.37[医药卫生—临床医学]