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目的在Miles术式的基础上,采用U形肌袢成型重建原位肛门治疗低位直肠癌和肛管癌。方法为72例低位直肠癌和肛管癌患者实施保留耻骨直肠肌双重U形肌袢成型重建原位肛门,同时建立直肠角和直肠瓣的新术式。结果本组72例,于术后4~6d开始出现便意感,1个月左右排便有自控意识,排便次数1~2次/日。1年内,优41例,良19例,差12例。结论本术式是在Miles术式基础上完成重建肛门,能彻底切除肿瘤,重建肛门排便功能良好,生活质量满意。
Objective Based on the Miles technique, reconstruction of primary anus with U-shaped ridges was performed to treat low rectal cancer and anal canal cancer. Methods A total of 72 patients with rectal cancer and anal canal cancer underwent bilateral U-shaped reconstruction of the puborectalis muscle for reconstruction of the anus in situ. Simultaneous reconstruction of the rectum and rectum was performed. Results The group of 72 patients, 4 ~ 6d after surgery began to sense of convenience, about 1 month bowel movement consciousness, defecation times 1 to 2 times / day. Within one year, excellent in 41 cases, good in 19 cases, poor in 12 cases. Conclusion This procedure is based on the Miles procedure to complete reconstruction of the anus, complete removal of the tumor, reconstruction of anal defecation, good quality of life satisfaction.