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本文研究了我院1991~1997年68例大肠癌以手术为主治疗的几项改进措施,提高了病人5年生存率,降低了术后并发症。直肠癌切除术,根据直肠肿块大小,与浆膜浸润情况,以及与邻近器官浸润等情况行R_1、R_2手术。直肠癌切除术是否保留肛门问题我们主张根据病情以提高5年生存率为主,不单纯强调保留肛门。直肠癌B,C期可考虑术前治疗,使肿块缩小,肿块活动度增加,以增加直肠癌切除率。大肠癌(结、直肠癌)可将小肠装入无菌塑料袋内以充分暴露手术野。大肠癌切除手术完成后,采取45C蒸馏水10000ml冲洗腹腔,将残留的痛细胞破坏及冲洗干净利于瘤手术。大肠无癌术后会阴部切口愈合即可放疗,休息—个月再行化疗。腹部永久性肛门定期扩张,以防人造肛门口狭窄。
This article studied the improvement measures of 68 cases of colorectal cancer treated with surgery in our hospital from 1991 to 1997, which improved the 5-year survival rate and reduced postoperative complications. Rectal cancer resection, according to the size of the rectum mass, and the serosal infiltration, and with adjacent organ infiltration and other conditions R_1, R_2 surgery. Whether resection of rectal cancer preserves the problem of the anus or not, we advocate that the 5-year survival rate should be improved based on the condition of the patient, not simply stressing preservation of the anus. Preoperative treatment of rectal cancer in stages B and C may be considered to reduce the mass and increase the activity of the mass to increase the resection rate of rectal cancer. Colorectal cancer (cancer, rectal cancer) The small intestine can be packed into a sterile plastic bag to fully expose the surgical field. After the resection of colorectal cancer is completed, 10000 ml of 45C distilled water is used to rinse the abdominal cavity, and the residual pain cells are destroyed and rinsed to facilitate tumor surgery. After the large intestine has no cancer, the perineal incision can heal after radiotherapy, and the rest-months of chemotherapy can be performed again. Abdominal permanent anus is regularly expanded to prevent narrowing of the artificial anal opening.