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目的 :评价国产管状吻合器在低位直肠癌保肛术中的安全性和实用性。方法 :从 1988年至 2 0 0 0年 2月 ,应用该技术行直肠癌保肛手术 98例 ,其中低位吻合 (吻合口位于腹膜返折平面以下者 ) 75例 ,占 76 53% ,内 65例系低位直肠癌 (距肛缘 8cm以内 ) ,超低位吻合 16例 ,占2 4 62 %。结果 :所有患者的吻合器切除圈完整。术后吻合口漏 4例 ( 4 0 8% ) ,吻合口狭窄 3例( 3 0 6% ) ,吻合口溃疡 1例 ( 1 0 2 % ) ,局部复发 4例 ( 4 0 8% )。结论 :国产吻合器吻合法可作为低位直肠癌保肛手术的一种安全可靠的术式选择。
Objective: To evaluate the safety and practicability of the domestic tube stapler in the preservation of low rectal cancer. Methods: From 1988 to February 2000, 98 cases of anorectal surgery for colorectal cancer were performed. Among them, 75 cases (76 53%) underwent low anastomosis (anastomosis below the peritoneal fold plane), and 65 Cases of Department of low rectal cancer (within 8cm from the anal verge), ultra-low anastomosis in 16 cases, accounting for 2462%. Results: All patients had anastomotic resection ring intact. There were 4 cases (40.0%) of anastomotic leakage, 3 cases of anastomotic stenosis (36%), 1 case of anastomotic ulcer (100%) and 4 cases of local recurrence (40.8%). Conclusion: The domestic anastomosis anastomosis can be used as a safe and reliable surgical procedure for anorectal surgery of low rectal cancer.