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目的探讨低位直肠癌如何切除保留肛门,从而提高患者术后生存质量。方法回顾性分析我院自1999年3月至2008年12月共为56例低位直肠癌患者采用了肿瘤脱出直肠外切除术吻合术。结果1例死于急性心肌梗死。2例出现吻合口瘘,经盆腔引流10～20天后痊愈。其余病人均恢复良好,术后2～5月肛门排便基本自控。结论采用脱出肛门外肿瘤切除吻合术,并发症少,手术操作简单,肛门排便功能恢复良好,疗效满意。
Objective To investigate how to remove the anus for the treatment of low rectal cancer so as to improve the postoperative quality of life. Methods Retrospective analysis of our hospital from March 1999 to December 2008 a total of 56 cases of patients with low rectal cancer using tumor prolapse resection and anastomosis. One patient died of acute myocardial infarction. 2 cases of anastomotic leakage, pelvic drainage 10 to 20 days after healed. The remaining patients were well recovered, anal defecation basically self-controlled after 2 ~ 5 months. Conclusions The use of prolapse and excision of the anus outside the anastomosis, less complications, simple operation, anal defecation function recovered well, with satisfactory results.