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目的研究结肠直肠切除术后保留肛门括约肌功能手术的适应症。方法对78例进行结肠直肠切除术并保留肛门括约肌治疗的患者的临床效果进行观察,根据结果分析行结肠直肠切除术后保留肛门括约功能手术的适应症。结果所有患者的手术进行顺利,无术中突发死亡情况,手术切口吻合处愈合情况良好,吻合口未发现有肠内容物漏出。所有患者的肛门生理功能未见明显损伤。结论结肠直肠切除术后保留肛门括约功能手术对于患有结肠黏膜疾病、病程>10年全结肠炎有广泛纤维化或活检有上皮异型生长者、溃疡性结肠炎穿孔和不能制止的下消化道出血、中毒性结肠炎、结肠腺瘤性息肉病、结肠腺瘤性息肉病等患者具有很好的治疗效果。
Objective To study the indications of surgery for preserving anal sphincter function after colorectal resection. Methods The clinical results of 78 patients undergoing colorectal resection and preserving anal sphincter were observed. According to the results, the indications of anal sphincter preserving surgery after colorectal resection were analyzed. Results All the patients underwent surgery without sudden death, and the anastomotic incision at the surgical incision healed well. The anastomotic leakage was not found in the anastomosis. All patients anal physiological function showed no significant damage. CONCLUSIONS: Anal sphincter preserving surgery after colorectal resection For patients with colonic mucosal diseases who have a history of> 10 years with extensive fibrosis or biopsy with epithelial dysplasia, perforation of ulcerative colitis, and uncontrollable lower gastrointestinal tract Bleeding, toxic colitis, colon adenomatous polyposis, colon adenomatous polyposis and other patients with good therapeutic effect.