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目的:探讨全结肠切除回肠“S”型储袋肛管吻合术治疗FAP的效果。方法:回顾分析1995至2005年进行的33例FAP全结肠切除术,对治疗效果进行分析。结果:33例患者中良性21例,癌变12例。全部患者均施行了全结肠切除,27例回肠“S”型储袋肛管吻合术,6例永久性回肠造口术;手术后无严重并发症发生。33例均得到随访1~10年,5例癌变病人因肿瘤复发、肝转移死亡。余者术后生存质量满意,排便功能良好。结论:全结肠切除回肠“S”型储袋肛管吻合术治疗FAP息肉切除彻底、术后控便能力理想,该术式是治疗FAP较为理想的手术方式。
Objective: To investigate the effect of anastomosis of anastomosis of “S” type resection ileum in the treatment of FAP. Methods: A retrospective analysis of 33 cases of FAP total colon resection performed between 1995 and 2005 was conducted to analyze the therapeutic effect. Results: Among the 33 patients, 21 were benign and 12 were cancerous. All patients underwent total colon resection, 27 cases of ileum “S” ankle anastomosis and 6 cases of permanent ileostomy. No serious complications occurred after the operation. 33 cases were followed up for 1 to 10 years, 5 cases of cancer patients due to tumor recurrence, liver metastasis and death. The remaining postoperative quality of life is satisfactory, defecation function is good. CONCLUSION: Total anastomosis of the “colon” resection ileum pocket for the treatment of FAP polyp excision is complete, and the postoperative controllability is ideal. This procedure is an ideal surgical treatment for FAP.