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[目的]评价双吻合器技术在中低位直肠癌前切除术中的应用价值。[方法]回顾分析2004年1月~2006年1月32例中低位直肠癌根治术中行双吻合器吻合的病例。[结果]32例应用双吻合器的手术中直肠闭合及吻合顺利,术后切口感染3例,吻合口狭窄1例,吻合口瘘1例,尿潴留2例,性功能障碍3例,无手术死亡病例。[结论]双吻合器吻合法可作为中低位直肠癌保肛手术的安全可靠的术式选择,从而提高中低位直肠癌患者生存质量。
[Objective] To evaluate the value of double stapling technique in low and middle rectal cancer resection. [Methods] A retrospective analysis of 32 cases of low rectum cancer between January 2004 and January 2006 underwent double stapling anastomosis cases. [Results] 32 cases of double staplers were operated in rectum and anastomosis smoothly. There were 3 cases of incision infection, 1 case of anastomotic stenosis, 1 case of anastomotic fistula, 2 cases of urinary retention and 3 cases of sexual dysfunction without surgery Deaths. [Conclusions] Double stapler anastomosis can be used as a safe and reliable technique for sphincter preserving operation in low and middle rectal cancer, so as to improve the quality of life of low and middle rectal cancer patients.