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目的 :提高低位直肠癌手术治疗中保肛手术比例 ,改善病人生活质量。方法 :分析 173例直肠癌手术中行 Dixon手术者46例的资料 ,并总结治疗体会。结果 :46例中吻合器手术 18例、手法缝合 2 8例 ;癌灶下极缘距肛门≥ 8cm 2 8例、5～ 7cm 17例、<5 cm1例 ;46例均治愈出院 (其中发生吻合口瘘和局部复发各 1例 ) ,均未发生大便失禁。结论 :保肛手术安全远切缘距离以 3～ 5 cm为宜 ;其中病灶小、低恶性、远切缘能达 3 cm者 ,亦可作保肛手术
Objectives: To improve the proportion of sphincter preserving surgery in the treatment of low rectal cancer and improve the quality of life of patients. Methods : To analyze the data of 46 cases of Dixon surgery in 173 cases of rectal cancer surgery and summarize the treatment experience. RESULTS: Of the 46 cases, 18 were stapled and 28 were surgically sutured; 8 lesions were located at the lower edge of the tumor from the anus ≥ 8cm 2 , 5 ~ 7cm were 17 cases, and <5cm were 1; 46 cases were all cured and discharged. There was no case of fecal incontinence in 1 case of oral fistula and local recurrence. Conclusion : The safe margin of sphincter preserving operation is 3～5 cm, and the lesions are small, low malignant, and the distal margin can reach 3 cm.