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目的:通过47例距肛缘5~7cm低位直肠癌的分析,对距肛缘5~7cm的低位直肠癌保肛手术的理沦依据、术式选择、吻合器应用的优越性和吻合器在保肛手术中的运用体会及主要并发症的防治进行了探讨。临床资料:我院自1994年7月至1997年8月进行根治性手术的距肛缘5~7cm的低位直肠癌患者47例。结果:40例行Dixon术式,7例行Miles术式。38例Dixon术式应用管状端端吻合器(EEA),其中发生直肠阴道瘘1例,吻合口或吻合口周围肠壁出血3例,经治疗后均痊愈,无手术死亡。结论;距肛缘5~7cm低位直肠癌有行保肛性根治手术的可能性,作者认为吻合器在低位直肠癌的保肛术中发挥了重要的作用,值得推广使用。
OBJECTIVE: To analyze the sphincter preserving operation of low rectal cancer from 5 to 7 cm away from the anal margin and the superiority of the use of stapler and stapler The application experience in sphincter preservation surgery and the prevention and treatment of major complications were discussed. Clinical data: 47 patients with low rectal cancer 5-7 cm away from the anal margin from July 1994 to August 1997 in our hospital. RESULTS: Forty patients underwent Dixon and seven patients underwent Miles. In 38 cases of Dixon procedure, tubular end-to-end stapler (EEA) was used. One case of rectovaginal fistula occurred, and 3 cases of intestinal hemorrhage around the anastomotic or anastomotic stoma were cured. No operative death occurred. Conclusion: The possibility of anus-preserving radical surgery for low rectal cancer of 5-7 cm from the anal margin is considered. The authors believe that the stapler plays an important role in the low-risk rectal cancer-preserving operation and is worthy of promotion.