用肠片及耻骨直肠肌重建肛管括约肌的临床研究  

CLINIC STUDY OF THE ANAL SPHICTER RECONSTRUCTION USING A PIECE OF INTESTINAL WALL AND PUBORECTALIS MUSCLE

作　　者：周殿伦[1] 田波[1] 姚培德[2] 段全红[1] 李茂竹[1] 韩桂全[1] 

机构地区：[1]潍坊医学院附院外科 [2]潍坊医学院应用解剖学研究室

出　　处：《潍坊医学院学报》1992年第2期116-119,共4页Acta Academiae Medicinae Weifang

摘　　要：对42例直肠下段癌病人施行了腹会阴切除术,30例用游离肠片及耻骨直肠肌重建肛管括约肌,7例用臀大肌,5例用翻卷式。经肛管直肠压力、括约肌肌电及排便反射,结合病人的主观感觉研究了术后肛门功能。结果表明,第一种术式的效果好于后两种。复发率无明显差别。In this paper, studied reconstruct anal sphicter with three methods after resecting the lower rectal cancer through abdominoperineal for 42 patients. 30 patients using a piece of intestinal wall and puborectalis muscle, 7 patients using the gluteus maximus muscle and 5 patients with rolling method. Studied the postoperative anal function by measuring the rectal and anal pressure, electromygram of the ananl sphicter and defeation reflex and analysising complains of the patients. The outcome shows that effect of the first method is better than others. The recurrent rates for the three methods were no difference.

关 键 词：耻骨直肠肌 括约肌 手术 直肠肿瘤 

分 类 号：R735.370.5[医药卫生—肿瘤]