摘要
目的探讨家族性息肉病两种手术方式对术后排便功能的影响。方法回顾性总结采用全结肠切除、回直肠吻合术（ileorectal anastomosis，IRA）和回结直肠切除、回肠J形贮袋成形、回肠肛管吻合术（ileal pouch anal anastomosis，IPAA）治疗38例家族性息肉病的资料。结果两种手术方式半年后的排便次数无明显差异，且随着时间的延长，排便次数均明显减少，综合排便功能也基本相似。IPAA组治疗更为彻底，有效减少术后息肉的复发。结论IPAA是治疗家族性息肉病比较理想的术式。
Objectives To evaluate the anal function following ileal pouch （IPAA） and ileoreetal anastomosis （IRA） in patients with familial adenomatous polyposis （FAP）. Methods From 1984 to 2007,38 patients with FAP were retrospectively reviewed. Results IPAA was performed on 18 patients, and IRA on 20, respectively. The number of defecation in IPAA group was similar to that in IRA group （ P 〉 0.05 ） 6 months after surgery, and reduced with time went on. The overall anal function recovered in two group to varying degrees. Conclusion IPPA was an ideal procedure to treat FAP,which is avoidable of remaining rectal cancerization.
出处
《临床外科杂志》
2009年第5期324-325,共2页
Journal of Clinical Surgery
关键词
家族性息肉病
手术
排便功能
adenomatous polyposis
surgery
anal function
