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本文对23例大肠多发性及家族性腺瘤病的外科治疗方式和效果进行分析．确诊时9例已发生癌变（39．1％）．21例行大肠全切除或次全切除，2例行乙状结肠切除。吻合方式以回直肠、结直肠或回肠肛管吻合为主，共15例（65．2％）．回肠贮袋肛管吻合3例，其中2例发生吻合口瘘。结果表明回直肠吻合或回肠肛管吻合术，可获得较好的排便和肛门节制功能．且有方法较简便、并发症较少的优点．对直肠病变较严重者则行直肠粘膜利说的回肠贮袋肛管吻合术，并行预防性回肠造口，以减少吻合口瘘的发生。
This article analyzes the surgical treatment and effect of 23 cases of large intestine multiple and familial adenomatosis. At the time of diagnosis, 9 cases (39.1%) had cancer. 21 patients underwent total or total subtotal resection and 2 patients underwent sigmoid resection. The anastomosis was based on rectal, colorectal or ileal anal canal anastomosis, a total of 15 cases (65.2%). There were 3 cases of anal canal anastomosis in the ileal pouch, of which 2 cases had anastomotic leakage. The results showed that rectal anastomosis or ileal anal anastomosis can obtain better defecation and anal control. And there are advantages of simpler methods and fewer complications. For those with severe rectal lesions, the ileal mucosal anal canal anastomosis with rectal mucosal prostatitis and prophylactic ileostomy were performed to reduce the incidence of anastomotic leakage.