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目的:探讨使用单个国产吻合器行低位及超低位前切除术加髂内动脉置泵化疗治疗低位直肠癌的应用价值。方法:2002年5月～2009年12月,用单个国产弯管型消化道吻合器行直结肠吻合加髂内动脉置泵化疗治疗68例低位直肠癌患者,对临床资料和结果进行分析总结。结果:本组全部吻合成功,术后盆腔复发3例(4.41%),吻合口狭窄2例(2.94%),无吻合口漏和吻合口出血发生。结论:用单吻合器行低位及超低位前切除术加髂内动脉置泵化疗治疗低位直肠癌是可行的,其操作简单安全,费用低,吻合成功率高,并发症少,即提高了患者术后生活质量,又改善了远期预后。
Objective: To investigate the value of using a single domestic stapler in the treatment of low rectal cancer with low and ultra-low anterior resection and internal iliac artery pump chemotherapy. Methods: From May 2002 to December 2009, 68 patients with low rectal cancer were treated with colorectal anastomosis and internal iliac artery pump chemotherapy with a single domestic elbow type digestive tract stapler. The clinical data and results were analyzed and summarized. Results: All the patients were successful in the anastomosis. Postoperative pelvic recurrence was found in 3 cases (4.41%) and anastomotic stenosis in 2 cases (2.94%). No anastomotic leakage and anastomotic bleeding occurred. Conclusion: It is feasible to treat low rectal cancer with single stapler low and ultra-low anterior resection combined with internal iliac artery pump chemotherapy. The operation is simple and safe, the cost is low, the rate of anastomosis is high, the complication is less, Postoperative quality of life, but also improve the long-term prognosis.