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为了提高家族性腺瘤性息肉病(FAP)的外科治疗效果,对16例FAP患者的外科治疗情况进行了回顾性总结。16例中除1例行全结肠直肠切除、回肠造口外,其余15例均行全结肠直肠切除、回肠贮袋肛管吻合术。贮袋式中J型3例、H型1例,S型11例,术后全部患者获1~5年随访,随访结果表明,病人排便功能均较满意,其中以S型贮袋者为好。笔者认为全结肠直肠切除是治疗FAP唯一彻底有效的方法,而回肠贮袋肛管吻合则是减少术后排便次数、提高术后生活质量的良好术式,并讨论了手术方式的选择、手术操作等
In order to improve the surgical treatment of familial adenomatous polyposis (FAP), retrospective review was performed on the surgical treatment of 16 patients with FAP. Of the 16 cases, except for one case undergoing total colorectal resection and ileostomy, the other 15 cases underwent total colorectal resection and ileal pouch anal anastomosis. Three cases of type J, 1 case of type H and 11 cases of type S were included in the storage bag type. All patients were followed up for 1 to 5 years. Follow-up results showed that the function of the patient’s bowel movement was satisfactory. Among them, S-type storage bag was better. . I believe that the entire colorectal resection is the only thorough and effective method for the treatment of FAP, and the ileal storage bag anal anastomosis is a good surgical method to reduce the number of postoperative defecation and improve postoperative quality of life, and discussed the choice of surgical methods, surgical operations Wait