肛门、直肠癌诊断与研究(Diagnosis and research of anal and rectal cancer).docVIP

肛门、直肠癌诊断与研究(Diagnosis and research of anal and rectal cancer).doc

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肛门、直肠癌诊断与研究(Diagnosis and research of anal and rectal cancer)

肛门、直肠癌诊断与研究(Diagnosis and research of anal and rectal cancer) Anal and rectal cancer 2010-12-16 Wang Hui Colorectal cancer is a common and frequently occurring disease which is harmful to human health and life. With the improvement of peoples living standard, the incidence of colorectal cancer is increasing year by year. Domestic and international data confirmed that rectum, anus (anal canal) cancer accounted for more than 57.1% of all colorectal cancer [1], so the diagnosis and treatment of anorectal cancer is very important for improving the treatment effect of colorectal cancer. 1 anatomical features The rectum and anus are the lower segments of the large intestine. The rectum is located in the pelvic cavity, the upper sigmoid colon, the lower anal canal, the length of about 15 ~ 20cm, in front of the bladder, seminal vesicles, prostate and urethra (the female is the uterus and vagina), and the back is the sacrum, coccyx. The 1.1 division of the rectum and anal canal rectum anatomy in second upper sacral margin surgery at the sacral promontory level is divided into three parts: (1) rectosigmoid (Rs): sacral promontory and second sacral vertebra lower margin; (2) the upper rectum (Ra): the second sacral margin to the peritoneum; (3) the lower part of the rectum (Rb): the peritoneum to puborectal muscle attachment on the edge. The lower rectum is connected to the anal canal (P) [2]. For the convenience of clinical application, the rectum is often divided into three segments: upper, middle and lower parts: the upper segment is 12 to 16cm, the middle section is 8 to 12cm, the lower segment is 8cm, and the anal canal is 3 to 4cm [3]. There are two different views on the anal and rectal boundaries. One is anatomy, the anal canal is bounded by the dentate line, the other is the surgical anal canal, which points to the tip of the coccyx or the lower part of the prostate tip, about 3 to 4cm long. From the lumen to see, you can assume 4 horizontal lines: first for the hair

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