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目的总结经骶尾入路手术在低位直肠良性病变及直肠肿瘤局部切除中的应用体会。方法低位直肠疾病患者18例,均采用经骶尾入路手术治疗。直肠类癌4例,直肠间质瘤4例、直肠癌4例(Dukes分期均为A期)、直肠腺瘤2例、直肠内脱垂合并盆底疝2例、直肠后囊肿1例、直肠阴道瘘1例。结果术后随访发现,所有患者均无瘤存活。2例直肠内脱垂合并盆底疝,术后疗效差,其中1例再次行全结肠切除术。结论骶尾入路手术简单易行,手术创伤小,病变切除完整,有利于保护性功能和肛门功能。
Objective To summarize the application of sacrococcygeal surgery in the treatment of benign lesions of the lower rectum and the resection of rectal tumors. Methods 18 patients with low rectal disease were treated by sacrococcygeal approach. 4 cases of rectal carcinoid tumor, 4 cases of rectal stromal tumor, 4 cases of rectal cancer (Dukes stage A), 2 cases of rectal adenoma, 2 cases of rectal prolapse with pelvic floor hernia, 1 case of rectum cyst, rectum Vaginal fistula in 1 case. Results follow-up found that all patients were tumor-free survival. 2 cases of rectal prolapse with pelvic floor hernia, poor postoperative efficacy, of which 1 case again underwent total colon resection. Conclusions The sacrococcygeal approach is simple and easy to operate, with less trauma and complete excision of the lesion, which is beneficial to the protection of sexual function and anal function.