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直肠癌根治会阴部造口术后二期股薄肌移植肛门成形
引用本文:秦荣,罗云生,单治堂.直肠癌根治会阴部造口术后二期股薄肌移植肛门成形[J].中华消化外科杂志,2005,4(2):84-86.
作者姓名:秦荣  罗云生  单治堂
作者单位:400037,第三军医大学新桥医院普通外科
摘    要:目的 回顾性总结32例直肠癌根治会阴部造口术后二期股薄肌移植肛门成形术的治疗效果。方法 采用Williams 5级评分法对重建前后肛门功能进行评价。结果 二期股薄肌移植肛门成形术前,32例患者肛门功能均在4级以上4级28.4%(9/32),5级71.6%(23/32)],二期股薄肌移植肛门成形术后肛门功能明显好转。结论 二期股薄肌移植肛门成形术是直肠癌根治会阴部造口术后有效的肛门重建手段。

关 键 词:直肠癌  股薄肌移植  肛门成形
文章编号:1671-4555(2005)02-0084-03
修稿时间:2004年9月24日

Two-stage neosphincter reconstruction after perineal colostomy and abdominoperineal resection for rectal cancer
Qin Rong,Luo Yunsheng,Shan Zhitang.Two-stage neosphincter reconstruction after perineal colostomy and abdominoperineal resection for rectal cancer[J].Chinese Journal of Digestive Surgery,2005,4(2):84-86.
Authors:Qin Rong  Luo Yunsheng  Shan Zhitang
Abstract:Objective To evaluate the treatment effect of two-stage neosphincter reconstruction by gracilis muscle transposition after perineal colostomy and abdominoperineal resection for rectal cancer in 32 patients. Methods Williams scoring system was used to evaluate the anal function before and after neosphincter reconstruction. Results Before two-stage neosphincter reconstruction, all patients had function of grade 4 or 5, while after neoshincter reconstruction, and function of grade 4 was observed only in 9.4%. Conclusions Two-stage neosphincter reconstruction by gracilis muscle transposition is effective in to the patients who underwent perineal colostomies after abdominoperineal resection for rectal cancer.
Keywords:rectal cancer    gracilis muscle transposition    neosphincter reconstruction
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