年轻病人需行全结肠切除术时如何保留肛门括约肌是一有意义的问题。Martin 等在1977年报道全结肠切除,直肠粘膜切除,回肠肛管吻合术,保留肛门括约肌,结果令人鼓午。作者从1977～1980年共施行25例,最近作者简化了手术方法。25例中慢性溃疡性结肠炎22例,家族性结肠息肉症3例,病人年龄11～25岁,女性14例,男性11例,随访3～35月(平均14.6月)。手术方法:将患 How to retain the anal sphincter during a total colectomy for younger patients is a significant issue. Martin et al reported in 1977, the whole colon resection, resection of the rectum, ileal anal anastomosis, retention of the anal sphincter, the result is encouraging. The authors co-administered 25 cases from 1977 to 1980, and the authors have recently simplified the surgical approach. Among the 25 cases, 22 were chronic ulcerative colitis and 3 were familial colon polyps. The patients were 11-25 years old and 14 were female. Eleven men were followed up from 3 to 35 months (average 14.6 months). Surgical methods: will suffer