低位直肠癌切除即时原位肛门重建术

Reconstruction of anus in low rectum cancer operation\

目的 探讨低位直肠癌行Miles根治术后即时行原位肛门重建的方法。方法 采用股薄肌移转和乙状结肠末端套叠法重建肛门外、内括约肌 ,辅以人工直肠瓣 ,并建立直肠角。结果 原位重建肛门 3 2例 ,功能优良率达 90 63 %。结论 本法适用于低位直肠癌。

Objective\ While low rectum cancer being resected with Mile's operation,the anus was reconstructed in situ simultaneously.Methods\ Thirty cases of artificial anus were perfectly reconstructed in situ with transferring of the gracilis and invaginating of the end of the sigmoid for the outer and inner sphincter of the anus.The artificial rectum valve was used for the rectum angle.Results\ The rate of excellent and good operative results reached 90\^63%.Conclusion\ The results show that this method is suitable for radical operation of low rectum cancer and functional incapacitation of the anus from other diseases as well\;