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目的:评价吻合阴部神经的肛门重建术临床应用价值及意义。方法:总结日本自治医科大学消化器外科1995年～2002年,20名患者行吻合阴部神经的肛门重建术的手术方法及愈后。结果:20例患者中10例利用重建肛门生活1年以上,10例患者重建肛门功能均能自然排便生活,4例能识别排便与排气,5例患者成形便失禁每周1次以上,1例有时使用衬垫,9例每天使用衬垫,8例患者对重建肛门功能表示非常满意,没有患者表示不满意而要求改行腹部人工肛门。结论:该手术仍须进一步改善,但该术式对临床意义重大,为提高直肠癌患者术后生存质量改善术式,提供了一个全新的发展方向。
Objective: To evaluate the clinical value and significance of anus reconstruction anastomosed with genitals nerve. Methods: To summarize the surgical procedures and prognosis of anal reconstruction of 20 patients undergoing genitourinary nerve repair in Japanese Society of Digestive Surgery, Autonomous Medical University from 1995 to 2002. Results: Ten of the 20 patients were admitted to the anus for more than one year. Ten patients were able to spontaneously defecate after reanalysis. Four patients were able to recognize defecation and excretion. Five patients were incontinence more than once a week Cases were occasionally padded and nine cases were padded daily. Eight patients were very satisfied with the reconstruction of anus and none of the patients were dissatisfied with the requirement to switch to artificial anus in the abdomen. Conclusion: The operation still needs to be further improved, but the procedure is of great clinical significance. It provides a new development direction for improving the postoperative quality of life of patients with rectal cancer.