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目的探讨经肛门局部切除低位直肠肿瘤的效果和预后。方法回顾分析近10 a收治的38例低位直肠肿瘤的临床资料,38均采用经肛门局部切除。结果单纯结扎切除者5例,局部扩大切除者33例,其中有1例因术后原发性出血(局部有癌变),当日行腹会阴联合切除术,1例基底部有残留,延期做腹会阴联合切除术,2例术后放疗。结论低位直肠肿瘤经肛门行局部切除治疗是一种安全、有效的手术方式,具有低并发症和肠道功能恢复快的优点,对于身体条件差、具有严重并发症的患者,可作为首选的手术方式。
Objective To investigate the effect and prognosis of transrectal resection of low rectal tumors. Methods Retrospective analysis of the clinical data of 38 cases of rectal neoplasms treated in the past 10 years, 38 were treated by anal partial resection. Results In the 5 cases of simple ligation and resection, 33 cases were locally enlarged and resected. Among them, 1 case had postoperative primary hemorrhage (local carcinogenesis). On the same day, abdominal perineal resection was performed. One case had residual basement, Perineal resection, 2 cases of postoperative radiotherapy. Conclusions Local resection of low rectal neoplasm through the anus is a safe and effective surgical procedure, which has the advantages of low complication and rapid recovery of intestinal function. It can be used as the first choice for patients with poor body condition and serious complications the way.