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直肠中段癌切除术的改进

A MODIFIED TECHNIQUE OF RECTECTOMY OF MIDDLE SECTIONAL RECTAL CARCINOMA
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摘要 本文介绍了我院1977~1992年收治的5例直肠中段癌,采用我们设计改进的经肛管直肠结肠拖出切除术治疗。术后经长期随访,5例均健在,其中4例生存7年以上,最长者已生存15年,均未发现局部复发或远位转移;术后原位肛门排便控制满意。本手术适用于直肠中段癌,尤以DukesAB期为宜。 Abstract5 cases of middle sectional rectal carcinoma treated between 1977 to 1992in hospital.All the patients was received a modified pull-through colorectec-tomy and followed up for a long term.4 cases have survived 7-15 yearswithout local recurrence and metastasis.The defecating function was basicallysatisfaction,because of the levator anal musculus,anal sphincters and partialanorectal reflex were protected.The modified operation we performed a prim-ary enteroanal anastomosis,so that the hospitalization was shorter than otherprocedures.the indication of this procedure is the middle sectionl rectalcarcinoma,especially Duke's A and B stage.
作者 王志明
机构地区 楚雄州医院外科
出处 《云南医药》 CAS 1994年第3期175-178,共4页 Medicine and Pharmacy of Yunnan
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  • 1周锡庚,沈耀祥,徐宝瑞.735例直肠癌的外科治疗和远期疗效[J]上海医学,1978(11).
  • 2Xi-Geng Zhou M.D., L.R.C.S. (Ed.),Bao-Ming Yu M.D.,Yao-Xiang Shen M.D.. Surgical treatment and late results in 1226 cases of colorectal cancer[J] 1983,Diseases of the Colon & Rectum(4):250~256

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