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本文报告对75例低位直肠癌病伤行根治性切除,结肛吻合后用特制的肛门螺纹支撑管支撑结肛吻合口,效果满意.手术经腹会阴按肿瘤分期及部位行根治性切除,扩肛后经肛门行结肛吻合,然后置入有一定弹性的特制肛门螺纹支撑管,并妥善固定.术后经该管按时冲洗,保持通畅。75例病人中未发生吻合口漏,术后排便功能及控便能力优者73例,良者2例,局部复发3例,占4%。该术式在完成肿瘤根治的同时,在结肛吻合中使用支撑管.除保留排便功能外,还克服了结肛吻合术后吻合口漏发生率高及分流性结肠造瘘,增加了手术安全度.减少病人痛苦,且支撑管制作容易,操作简单,易于推广。
This article reports on 75 cases of low rectal cancer with radical resection, anal anastomosis after using a special anal thread support tube supporting anastomotic stoma, with satisfactory results. Surgical abdominal perineum according to the stage and location of the tumor radical resection, after the anus line anal anastomosis through the anus, and then place a special elastic threaded anus support tube, and properly fixed. After the operation, the tube was rinsed on time to keep it open. Among the 75 patients, anastomotic leak did not occur, and 73 patients had excellent defecation function and control ability, 2 had good resection, and 3 had local recurrence, accounting for 4%. The surgical method used to complete the tumor at the same time, the use of support tube in the anal anastomosis. In addition to maintaining the function of defecation, it also overcomes the high incidence of anastomotic leakage and stunted colostomy after anastomotic anastomosis, which increases the surgical safety. Reducing the patient’s pain, and the support tube is easy to make, simple to operate, and easy to promote.