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我国直肠癌以年轻和低位为其特点。对于低位直肠癌在行Miles氏根治切除后能否保肛目前意见并非一致。1984年2月我们对低位直肠癌在施行根治切除的基础上,将结肠经会阴拖出,剔除粘膜浆肌层反迭肛门重造。经两年多的随访观察及系列的功能测定,本术式在确保对肿瘤根治性切除基础上,保持了生理排粪通道,具有满意的自控能力,手术技术简便利于推广。
The rectal cancer in our country is characterized by its youngness and low position. The current opinion on whether low rectal cancer can protect the anus following radical resection of Miles is not consistent. In February 1984, based on the radical resection of low rectal cancer, the colon was pulled out through the perineum and the mucosal plasma muscle layer was removed to reconstruct the anus. After more than two years of follow-up observation and a series of functional tests, this surgical method has maintained a physiological defecation channel on the basis of ensuring radical resection of the tumor, and has a satisfactory self-control ability. The surgical technique is convenient for promotion.