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慢性溃疡性结肠炎、Gardner综合征和家族性息肉症近年来有人主张采用结肠切除、直肠粘膜切除、直肠内回肠肛管拉出术治疗。此法能完全切除有病变的结直肠粘膜、并作回肠肛管吻合术以保持肠道的连续性。目前已有很多改良方法,包括回肠储袋。能减少排便次数,结果更令人满意。作者报道用放射学、测压法和临床技术来评价手术后早期和晚期的功能结果。从1982年8月至1984年5月,在盐湖城鸟泰医学中心共施行回肠肛管拉出术40例,其中慢性溃疡
Chronic ulcerative colitis, Gardner syndrome and familial polyposis In recent years, some people advocate the use of colon resection, rectal mucosal resection, intrarectal ileal anal pull treatment. This method can completely remove the lesion of colorectal mucosa, and ileal anastomosis to maintain intestinal continuity. There are many improved methods, including ileum pouch. Can reduce the frequency of defecation, the result is more satisfactory. The authors report using radiology, manometry, and clinical techniques to evaluate early and late postoperative functional outcomes. From August 1982 to May 1984, 40 patients were treated with ileal and anal extraction in the Bird & Bird Medical Center, Salt Lake City, of which chronic ulcers