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目的总结低位直肠癌保肛手术的临床经验。方法对自1999年1月～2006年12月间治疗的30例低位直肠癌患者的临床资料进行总结分析。结果30例中男性12例,女性18例,年龄36～72岁,平均56岁。根治性切除27例,姑息性切除3例。肿瘤下缘距肛门≤6cm 13例,≤8cm 17例。全部病例均行GF-Ⅰ型31号吻合器吻合。吻合口漏1例,经保守治疗愈合。结论采用吻合器行直结肠端端、端侧骶前吻合保肛治疗低位直肠癌安全可靠,切实可行的方法,值得临床推广应用。
Objective To summarize the clinical experience of anal sphincter preservation in patients with low rectal cancer. Methods The clinical data of 30 patients with low rectal cancer who were treated from January 1999 to December 2006 were analyzed. Results 30 cases of male 12 cases, 18 females, aged 36 to 72 years, mean 56 years. Radical resection in 27 cases, palliative resection in 3 cases. The tumor margin from the anus ≤ 6cm 13 cases, ≤ 8cm 17 cases. All cases were performed GF-Ⅰ type 31 stapler anastomosis. Anastomotic leakage in 1 case, conservative treatment of healing. Conclusions It is safe, reliable and practical to treat low rectal cancer with anastomosis device by anastomosis with straight colon end and anterior lateral sacral anastomosis. It is worthy of clinical application.