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的临床研究

摘要

Objective:To explore the effect of treating low rectal cancer using single stapling device in low and sublow anterior resection with intra-internal iliac artery implantation pump chemotherapy. Methods:Sixty-eight cases of low rectal cancer were treated surgically with single tube stapling device with intra-internal iliac artery implantation pump chemotherapy. Results:Anastomosis was made in all patients successfully. Sixty-five cases of them were followed up and 4 cases of pelvic cavity recurrenced (5.88％),2 cases of anastomosis sterosis (2.94 ％) were founded. No leakage and bleeding of anastomosis occurred.Conclusion:Treating low rectal cancer using single stapling device in low and sublow anterior resection with intra-internal iliac artery implantation pump chemotherapy is avialble. It is simple,safe and inexpensive with lower complication.It also have a perfect prognosis and can improve the quality of postoperative life.%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,对临床资料和结粜进行分析总结.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,即提商了患者术后生活质量,又改善了远期预后.