保留耻骨直肠肌重建原位肛门治疗直肠癌(附20例报告)

Treatment of Rectum Cancer with Reconstructing Anus in situs and Remaining Musculus Puborectalia

为研究保留耻骨直肠肌重建原位肛门治疗直肠癌的方法，在手术治疗低位直肠癌且无法保肛术式的基础上，保留痔上神经以及所支配的耻骨直肠肌重建原位肛门２０例。术后１个月１０例达到优或良，术后３个月全部病例均达到优或良，无手术后死亡。结果表明此术式不仅能达到根治性切除，而且复发率低，比较其他会阴部人工肛门术式具有节便效果好、损伤小的特点。

In order to research on the method of reconstructing anus in situs, we reconstructed artificial anus with remaining nervi haemorrhoidales superiors and musculus puborectalis. We have reconstructed 20 cases of artificial anus with remaining nervi haemorrhoidales superiores and musculus puborectalis. 10 cases were in good conditions. After3 months, all patients acquired satisfactory functions. conclusions: Not only the operation is a radical rectotomy, but also the recurrent rate is low. Compared with other rectum cancer operations, fecal continenc, little injury are its advantages.