在溃疡性结肠炎和家族性息肉病施行全结肠、直肠切除术后,有许多重建手术,1985年Nicholls介绍了W型回肠贮存袋方法,以后采用了J型贮存袋的优点进行了改良并放置在肛管部位。作者对109例上述W型回肠袋—肛管吻合术(WIPAA)进行了长期随访,平均为2.8±0.2年。全组中,89例为溃疡性结肠炎,19例为家族性息肉病,1例为遗传性非息肉病性结肠癌,男性60例,女性49例,平均32.4岁(11～67岁)。手术步骤包括肛提肌上方数cm处横断直 There are many reconstructive procedures following total colon and rectal excision of ulcerative colitis and familial polyposis. In 1985, Nicholls introduced a W-ile pocket method that was later modified and placed on the advantages of a J-type pouch In the anal canal. The authors conducted a long-term follow-up of 109 cases of the W-ileal pocket-anal anastomosis (WIPAA) with an average of 2.8 ± 0.2 years. In the entire cohort, 89 were ulcerative colitis, 19 were familial polyposis, and 1 was hereditary nonpolyposis colorectal cancer with 60 males and 49 females, averaging 32.4 years (range 1 to 67 years). Surgical procedures include levator ani muscle above the number of cm straight at the cross