论文部分内容阅读
对115例腹会阴直肠切除术会阴伤口的两种不同处理方法进行分析比较。在年龄、性别、病理分期及恶性程度无明显差异的情况下,会阴伤口一期缝合组的平均愈合时间为16.90±4.35天,伤口敞开组为37.04±15.44天,差异有显著性意义(P<0.002)。术后局部复发率均为4.35%(P>0.05)。认为对癌肿远端需切除2~3cm正常肠管而同时切除肛直肠环、不得不作Miles手术者,会阴部清除范围无需太大,会阴伤口可分层完全缝合;对位于肛管内或侵及肛直肠环的癌肿,须彻底清除坐骨直肠窝脂肪结缔组织。
Two different treatments of 115 cases of perineal perineal perineal perineal wound were analyzed and compared. In the age, sex, pathological stage and no significant difference in the case of malignancy, the average healing time of perineal wound suture group was 16.90 ± 4.35 days, the open wound group was 37.04 ± 15.44 days, the difference was statistically significant ( P <0.002). The local recurrence rate was 4.35% (P> 0.05). That the remote treatment of cancer should be removed 2 ~ 3cm normal bowel and resection of the anorectal ring, had to be Miles surgery, perineal removal of the scope need not be too large, perineal wounds can be stratified completely stitched; located in the anal canal or invasion Anorectal ring cancer, to be completely removed ischial rectal fossa fat connective tissue.