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目的探讨经腹会阴直肠癌根治术的手术方法及效果。方法回顾分析我科曾收治的60例直肠癌患者的临床资料。全部行经腹会阴直肠癌根治术。结果全部患者手术顺利,平均手术时间160～185min,术中出血300～500ml,术后有5例出现会阴切口渗液,经换药治疗后治愈出院,2例早期炎性肠梗阻,住院时间10～15d,术后恢复良好。全部患者回访2年,生存者48例,占80%。结论经腹会阴直肠癌根治术手术切除范围广,可完整切除肿瘤,减少复发和转移,提高生存率。而且医生能在直视下延筋膜之前做细致解剖,降低术中穿孔发生率。
Objective To investigate the surgical method and effect of transabdominal perineal radical mastectomy. Methods The clinical data of 60 patients with rectal cancer who had been admitted to our department were retrospectively analyzed. All via abdominal perineal radical mastectomy. Results All the patients were operated smoothly with the average operation time of 160 ~ 185min and intraoperative blood loss of 300 ~ 500ml. After operation, 5 cases had perineal incision effusion. After the dressing change, the patients were cured and discharged. Two cases of early inflammatory intestinal obstruction and hospital stay of 10 ~ 15d, good recovery after surgery. All patients return visit 2 years, 48 cases of survival, accounting for 80%. Conclusion The radical resection of perinephricus by radical resection of a wide range of surgery, complete removal of the tumor, reduce recurrence and metastasis and improve survival. And the doctor can make detailed anatomy before underlining fascia, reducing the incidence of intraoperative perforation.