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家族性结肠息肉病和溃疡性结肠炎是结肠的癌前病变,为了消除癌症的危险,必须切除全部结肠粘膜.通常这要通过全结肠直肠切除和回肠造瘘来完成.本文介绍的则是全结肠切除,直肠粘膜切除和末段回肠经直肠拉出术,能使全部结肠和直肠的粘膜得以切除,并保留括约肌的功能.1975年6月至1982年4月,作者成功地为19个病人施行全结肠切除,直肠粘膜切除和末段回肠经直肠拉出术,病人年龄在11～44岁(平均22岁),10人年龄在20岁以下.家族性结肠息肉病13人,溃疡性结肠炎6人.手术方法:病人取膀胱截石位.结肠游离后,在直肠上段腹膜返折平面作浆肌层环形切开,将粘膜及粘膜下层与直肠肌层分离,向下分离至齿状线.切除结肠,并在齿状线或邻近齿状线的部位横行切断直肠粘膜.将末段回肠经由直肠肌性管道拉出,吻合于肛
Familial polyposis coli and ulcerative colitis colorectal precancerous lesions, in order to eliminate the risk of cancer, you must remove the entire colon mucosa. This is usually done through the total colorectal resection and ileostomy to complete. This article describes the whole Colon resection, rectal mucosal resection and distal ileal rectal pull-out surgery, can make all the colon and rectum mucosa removed, and retain the function of the sphincter .1975 June to April 1982, the author was successful for 19 patients Total colon resection, rectal mucosal resection, and distal ileal rectal pull-out were performed, and patients were 11 to 44 years (mean 22 years) and 10 were under 20. Colon familial polyposis was 13 and ulcerative colon Inflammation 6. Surgery: bladder lithotomy position of the patient after the colon free, in the rectum peritoneal recumbent plane for the plasma membrane annular incision, the mucosa and submucosa and rectal muscle layer separation down to the dentate Line. Excision of the colon, and in the dentate line or near the dentate line transverse transection of the rectal mucosa will be the distal ileum through the rectal muscle tube pulled out, consistent with the anal