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我院1987年5月～1989年5月,经腹骶尾入路施行手术治疗直肠病变,收到比较满意效果。作者结合文献,将手术方法及体会讨论如下。临床资料本组7例,男性5例,女性2例。年龄:28～60岁。病程:6个月～2年。病种分类:直肠癌5例。癌肿距肛门齿状缘6cm 2例,8cm 3例。病理报告均为直肠腺癌。病理分型:巨块型2例、溃疡型2例、狭窄型1例。医源性高位直肠阴道瘘1例,盆腔畸胎瘤侵犯直肠1例。手术方式:腹骶尾入路切除和修补,其中结直肠吻合3例,肛管粘膜
From May 1987 to May 1989 in our hospital, we performed surgical treatment of rectal lesions via abdominal popliteal approach and received satisfactory results. The author combined the literature and discussed the surgical method and experience as follows. Clinical data in this group of 7 patients, 5 males and 2 females. Age: 28 to 60 years old. Duration: 6 months to 2 years. Disease classification: 5 cases of rectal cancer. Cancer was located 6cm from the dentate margin of the anus and 3 cases of 8cm. Pathology reports were rectal adenocarcinoma. Pathological type: 2 cases with giant block, 2 cases with ulcer and 1 case with stenosis. There was one case of iatrogenic high rectovaginal fistula and one case of pelvic teratoma invading the rectum. Surgical methods: removal and repair of ventral popliteal approach, including colorectal anastomosis in 3 cases, anal mucosa