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Miles手术至今仍作为对低位直肠癌的经典手术被采用。Miles在其原著中规定5条原则,第1条就是:必须在腹部做结肠造口。病人往往因此而拒绝手术。为了克服因结肠造口所带来的生活质量及心理状态上的弊端,我们近年来选择一些病例施行低位前切除术(简称Dixon手术)与股薄肌原位人工肛门成形术(简称原位人肛术)。通过1年以上随访观察,试就上述两种手术的可行性予以探讨,以期找出合理的术式选择。 1 临床资料 1987年4月至1994年3月。低位直肠癌手术51
Miles surgery is still used as a classic surgery for low rectal cancer. Miles stipulates five principles in his original work. Article 1 is: Colon colostomy must be done in the abdomen. Patients often refuse surgery because of this. In order to overcome the disadvantages of the quality of life and psychological state brought about by the colostomy, we have selected some cases in recent years to perform low-level anterior resection (referred to as Dixon surgery) and gracilis in-situ anaesthesia (referred to as orthotopic human Anal surgery). After more than one year of follow-up observation, the feasibility of the above two types of surgery was explored in order to find a reasonable choice of surgical procedures. 1 Clinical data April 1987 to March 1994. Low Rectal Surgery 51