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我院设计制作了一种新型直肠吻合器械—伞形吻合夹,适用于中下段直肠癌手术。从1988年7月至1993年3月,在37例中下段直肠癌手术应用后取得满意疗效。现将应用体会介绍如下。 1 临床资料本组男16例,女21例,年龄16～67岁,40岁以上28例。Dukes分期:B期24例,C期13例。肿瘤病理类型:绒毛状腺瘤癌变2例,印戒细胞癌3例,乳头状腺癌2例,低分化腺癌5例,粘液腺癌6例,直肠管状腺癌3例,中分化腺癌8例,高分化腺癌8例。伞形吻合夹结构:伞形吻合夹形状似伞,一个膨大的头部和一个杆连成。由上下两叶和螺母组成。上叶为中心杆伞状叶,下叶为套管叶,中心杆伞状叶是一个圆
Our hospital designed and manufactured a new type of rectal anastomosis device - umbrella-shaped anastomosis clip, suitable for middle and lower rectal cancer surgery. From July 1988 to March 1993, satisfactory results were obtained in 37 cases of middle and lower rectal cancer surgery. The application experience will be introduced as follows. 1 clinical data in this group of 16 males and 21 females, aged 16 to 67 years, 28 cases over 40 years of age. Dukes staging: 24 cases of B stage, 13 cases of C stage. Tumor pathological types: 2 cases of villous adenoma, 3 cases of signet ring cell carcinoma, 2 cases of papillary adenocarcinoma, 5 cases of poorly differentiated adenocarcinoma, 6 cases of mucinous adenocarcinoma, 3 cases of rectal tubular adenocarcinoma, 3 cases of moderately differentiated adenocarcinoma 8 cases, 8 cases of well-differentiated adenocarcinoma. Umbrella clamp structure: The umbrella clamp is shaped like an umbrella, with an enlarged head and a rod. Composed of upper and lower leaves and nuts. The upper leaf is the center umbrella umbrella leaf, the lower leaf is the casing leaf, the center rod umbrella leaf is a circle