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自1987年4月以来,我院对距肛缘7～8cm的4例女性直肠癌患者,采用经腹游离、经会阴径路行结肠直肠吻合术,效果良好,现报告如下。一、临床资料:4例均为女性患者,年龄30～65岁;2例癌肿距肛缘8cm,另2例为7cm。病变侵犯肠管1/4周3例,1/3周1例。大体类型:隆起型3例,溃疡型1例。病理类型:乳头状腺癌1例,管状腺癌Ⅱ级1例,Ⅲ级2例。Dukes分期:A_2期3例,B期1例。随访已超过1年,节制排便功能基本达正常人水平,疗效评判均为优。
Since April 1987, 4 cases of rectal cancer in women 7-8 cm away from the anal margin have been treated with transabdominal dissection and perineal pathway colorectal anastomosis. The results are good. The report is as follows. First, clinical data: 4 cases were female patients, aged 30 to 65 years; 2 cases of cancer from the anal margin 8cm, the other 2 cases of 7cm. The lesions invaded the intestine in 3 cases at 1/4 week and 1 case at 1/3 week. General types: 3 cases of uplift and 1 case of ulcer. Pathological types: 1 case of papillary adenocarcinoma, 1 case of tubular adenocarcinoma grade II, 2 cases of grade III. Dukes stage: 3 cases in A2 period and 1 case in B period. After more than one year of follow-up, the defecation function was basically normal and the efficacy evaluation was excellent.