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作者回顾了1974～1988年间局部切除法治疗直肠肿瘤58例的体会。病人分三组:(1)腺癌35例,其中早期28例,晚期7例;(2)类癌6例;(3)腺瘤伴中到重度不典型增生17例。依肿瘤大小及部位不同分别采用 York-Mason 术、经骶骨或经肛门切除术。随访最长11年。11例失访。第1组平均年龄60岁,第3组为57岁,比第2组(44岁)高。第1组中16例溃疡型癌,6例晚期,10例早期。所有肿瘤均位于下段直肠及肛管。肿瘤较大时多采用 York-Mason 术。第1组中3例出现术后漏,第3组1例。术后未见肛门失禁。第1组中4
The authors reviewed the experience of 58 cases of rectal tumor treated with local resection between 1974 and 1988. The patients were divided into three groups: (1) 35 cases of adenocarcinoma, of which 28 cases were early and 7 cases were late; (2) 6 cases of carcinoid; (3) 17 cases of moderate to severe dysplasia of adenomas. York-Mason surgery, transtibial or transanal resection were used depending on the size and location of the tumor. Follow up to 11 years. 11 cases were lost. The average age of the first group was 60 years old, and the third group was 57 years old, which was higher than the second group (44 years old). There were 16 ulcerative cancers in group 1, 6 advanced and 10 early. All tumors were located in the lower rectum and anal canal. Larger tumors use York-Mason surgery. Postoperative leakage occurred in 3 patients in group 1 and 1 patient in group 3. No incontinence was seen after surgery. In group 1 4