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目的探讨改良横弧形切口经骶入路手术治疗骶前肿瘤经验及手术技巧。方法总结分析2005年3月至2011年8月收治的10例行经骶入路横弧形切口骶前肿瘤切除术患者的临床资料。结果 10例患者均经该途径完整切除肿瘤,除1例切口部分液化外,其余患者切口均一期愈合。患者无术后死亡,无肛门失禁等其他医源性损伤并发症发生。所有病例随访24~34个月,均无复发或转移。结论改良横弧形切口经骶人路切除低位骶前肿瘤手术安全有效。
Objective To investigate the experience and surgical technique of presurgical sacral tumor treated by modified lateral arc incision. Methods The clinical data of 10 patients who underwent presacral resection of sacral tumors undergoing sacral approach to the sacral approach from March 2005 to August 2011 were analyzed. Results All the 10 patients undergone complete resection of the tumor by this route. All but one of the incisions were partially liquefied, and all other incisions healed. No patient died after surgery, no anal incontinence and other iatrogenic injury complications. All cases were followed up for 24 to 34 months, no recurrence or metastasis. Conclusion The modified transverse incision is safe and effective in the surgical treatment of low presacral neoplasms by sacral approach.