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在某些良性疾病,结肠切除术和切除直肠粘膜以后保留肛门直肠括约肌机制和部分直肠肌肉的概念在数十年以前已有描述。1947年Ravitch等曾应用于治疗溃疡性结肠炎病人。1968年对狗实验的研究,激发了人们重新对直肠粘膜切除和直肠内回肠拖出术发生了兴趣。近8年来数个医疗中心已做了约500例这样的手术。虽然切除直肠粘膜的技术已略定型,但对有关直肠内回肠拖出术的最佳方法仍有争论。以后,这一手术还附加了回肠贮存袋的操作。本文旨在报道近7年为78例慢性溃疡性结肠炎和8例家族性息肉病进行了全结肠切除术、直肠粘膜切除,直肠内回肠拖出术加侧位顺蠕动回肠贮存袋,手术分二期进行。本组中男42例,女44例,平均年
The concept of preserving the anorectal sphincter mechanism and partial rectal muscle after certain benign diseases, colostomy and resection of the rectal mucosa has been described decades ago. 1947 Ravitch, etc. have been used to treat ulcerative colitis patients. In 1968, the study of dogs stimulated people’s renewed interest in rectal mucosal resection and intrarectal ileal traction. Nearly eight years, several medical centers have done about 500 such procedures. Although the technique of removing the rectal mucosa has been somewhat stereotyped, the best method for dragging the ileum in the rectum remains controversial. Later, this operation also attached ileum storage bag operation. This article aims to report nearly seven years for the 78 cases of chronic ulcerative colitis and eight cases of familial polyposis carried out the whole colon resection, rectal mucosal resection, intrarectal ileal drag plus lateral cisternal ileal pouch, surgical points Two carried out. The group of 42 men and 44 women, average age