直肠癌低前位切除结肠J型贮袋吻合术对肛门功能的影响.pdfVIP

·1177· 直肠癌低前位切除结肠J型贮袋 吻合术对肛门功能的影响 邓兵徐永强 罗由平 【摘要】 肠前切除术治疗的50例中低位直肠癌随机分为结肠J型贮袋吻合组25例，结肠直肠直接吻合组25例，比较两组的手术情 况和术后6个月、12个月肛门功能情况。结果两组均无死亡、吻合口瘘和狭窄；直接吻合组术后肝转移1例，袋吻合组术 肠前切除术时选择结肠J型贮袋术可以明显改善患者术后近期的肛门功能。 【关键词】 直肠癌结肠肛管吻合术肛门功能 Toevaluatetheeffectof coloanalanastomosis明analfunctionafterlowanteriorresection． 【Abstract]Objective J—pouch MethodsFromMarch2008toMarch lowanteriorresectionfortherectalcarcinomasweredivided 2010，50 patientsundergoing into ofdirectcoloanalanastomosisandthatofcolonic analanastomosis functionsof intwo groups J pouch randomly．Analpatients wereevaluatedin6monthsand12monthsafterthe No stricturesand groups operations．Resultspostoperativedeath，anastomotie werefoundinthesetwo easeindirectcoloanalanastomosisoccurredlivermetastasisand2casein leakage groups．1 group Jpouch analanastomosisoccurred analanastomosisresultedinbetteranalfunctionsthandirecteoloanal Jpouch group eon8tipation．Colonic anastomosisbothin6monthsand12monthsafterthe J eoloanalanastomosisafterlow operations(PO．05)．Conclusionspouch anteriorresectionforthemiddleandlowrectalcarcinoma theshorttermanalfunctionafter significantlyimproves operation． wordsRectalcarcinomaColoanalanastomosisAnus I Key l function8 随着吻合器广泛应用以及手术技术和手术理 肌受肿瘤侵犯、瘤体太大而固定、肿瘤位于肛门直 念的改进，使中低位直肠癌保肛手术在技术上和 肠环者。其中男28例，女22例；年龄41～78岁， 术后长期生存上取得了长足进展，但低位前切除 平均61岁。大体类型：隆起型15例，溃疡型27 anterior 术(10wer resections，LAR)后多合并前切除 例，浸润型8例。组织学分类：中分化腺