摘要
为了提高家族性腺瘤性息肉病(FAP)的外科治疗效果,对16例FAP患者的外科治疗情况进行了回顾性总结。16例中除1例行全结肠直肠切除、回肠造口外,其余15例均行全结肠直肠切除、回肠贮袋肛管吻合术。贮袋式中J型3例、H型1例,S型11例,术后全部患者获1~5年随访,随访结果表明,病人排便功能均较满意,其中以S型贮袋者为好。笔者认为全结肠直肠切除是治疗FAP唯一彻底有效的方法,而回肠贮袋肛管吻合则是减少术后排便次数、提高术后生活质量的良好术式,并讨论了手术方式的选择。
In order to improve the surgical effect of familial adenomatous polyposis (FAP), the authors retrospectively summarized the data of surgical treatment in 16 cases of FAP. All of the cases, except one that had undergone ileostomy, subjected to the ileal pouch anal anastomosis (IPAA), including J pouch in 3 patients, H poach in 1 and S pouch in 11. All of the patients were followed up for 1 5 years. The result showed that the function of defecation in all patients was satisfactory, among which, S pouch had the best function. The authors hold that total coloproctectomy is the only thorough successful procedure for FAP, and IPAA is the best to reduce the frequency of defecation and to improve the quality of life. The selection of procedure, operative manipulation, etc are discussed in this article.
出处
《中国普通外科杂志》
CAS
CSCD
1998年第6期344-346,共3页
China Journal of General Surgery
关键词
家族性
腺瘤
肠息肉瘤
结肠直肠切除
Familiy adenoma Intestinal polyps Coloproctectomy Ileal pouch anal anastomosis.