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经腹会阴联合切除术治疗直肠癌,根治了大量的直肠癌患者,然而,腹壁人工肛门的建立又给患者术后的生活及社交带来了诸多不便。从1993年4月至1997年9月,笔者对56例需行Mile’s手术的直肠癌患者的腹壁人工肛门进行了改进。经过4年多临床观察及随访,改良后的人工肛门管理简单,操作方便,新的结肠造口方法较传统的Goligher’s单腔造口术更为方便实用,更易为患者所接受。
Transabdominal perineal resection in the treatment of rectal cancer has cured a large number of patients with rectal cancer. However, the establishment of the abdominal wall artificial anus has brought a lot of inconvenience to the patient’s postoperative life and social. From April 1993 to September 1997, the authors improved the abdominal wall artificial anus of 56 patients with rectal cancer undergoing Mile’s surgery. After more than four years of clinical observation and follow-up, the modified artificial anus has simple management and convenient operation. The new colostomy method is more convenient and practical than the traditional Goligher’s single-cavity ostomy, and is more easily accepted by patients.