目的探討低位直腸息肉惡變的合理的外科手術(shù)方式。方法對我院1997年1月至2001年12月收治的32例低位直腸息肉惡變患者的資料進行回顧性分析。 結(jié)果32例中經(jīng)肛門局部切除20例,經(jīng)腹前切除低位吻合(Dixon術(shù))8例,經(jīng)腹會陰聯(lián)合切除(Miles’術(shù))4例,其中27例術(shù)后給予放、化療。28例獲隨訪1~5年,2例死亡,余均無局部復(fù)發(fā)。 結(jié)論低位直腸息肉惡變手術(shù)方式的正確選擇是達到“根除癌腫”、“改善患者生活質(zhì)量”目的的關(guān)鍵,術(shù)中冰凍病理檢查是手術(shù)方式選擇的重要依據(jù)。
引用本文: 張偉,李平. 低位直腸息肉惡變的外科手術(shù)處理. 中國普外基礎(chǔ)與臨床雜志, 2002, 9(6): 431-432. doi: 復(fù)制
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- 6. Bailey HR, Huval WV, Max E, et al. Local excision of carcinoma of the rectum for cure [J].Surgery, 1992; 111(5)∶555.
- 7. Adloff M,Arnoud JP,Schoegel M,et al.Factors influencing local recurrence after abdominoperineal resection for cancer of the rectum [J].Dis Colon Rectum,1985; 28(6)∶413.
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