蚌埠医学院学报
蚌埠醫學院學報
방부의학원학보
ACTA ACADEMIAE MEDICINAE BENGBU
2001年
2期
113-114
,共2页
肛门疾病/外科手术%直肠
肛門疾病/外科手術%直腸
항문질병/외과수술%직장
目的：探讨肛门直肠良性狭窄病因和有效的外科治疗途径。方法：轻度肛门直肠狭窄，采用扩肛治疗；狭窄段长度超过1cm者，据狭窄程度分别采用狭窄部纵切横缝、Y-V皮瓣插入、直肠内环状狭窄3点瘢痕切除等方式。结果：33例患者经扩肛和各种手术治疗，除1例术后证实为直肠腺癌改行Mile根治术2年内死亡外，其他患者按罗享卿分级：属Ⅰ级29例(87.88%)，Ⅱ级3例(9.09%)，总治愈率96.97%。结论：扩肛是预防和治疗肛门良性狭窄不可缺少的方法，而外科手术才是治愈该病的唯一途径。
目的：探討肛門直腸良性狹窄病因和有效的外科治療途徑。方法：輕度肛門直腸狹窄，採用擴肛治療；狹窄段長度超過1cm者，據狹窄程度分彆採用狹窄部縱切橫縫、Y-V皮瓣插入、直腸內環狀狹窄3點瘢痕切除等方式。結果：33例患者經擴肛和各種手術治療，除1例術後證實為直腸腺癌改行Mile根治術2年內死亡外，其他患者按囉享卿分級：屬Ⅰ級29例(87.88%)，Ⅱ級3例(9.09%)，總治愈率96.97%。結論：擴肛是預防和治療肛門良性狹窄不可缺少的方法，而外科手術纔是治愈該病的唯一途徑。
목적：탐토항문직장량성협착병인화유효적외과치료도경。방법：경도항문직장협착，채용확항치료；협착단장도초과1cm자，거협착정도분별채용협착부종절횡봉、Y-V피판삽입、직장내배상협착3점반흔절제등방식。결과：33례환자경확항화각충수술치료，제1례술후증실위직장선암개행Mile근치술2년내사망외，기타환자안라향경분급：속Ⅰ급29례(87.88%)，Ⅱ급3례(9.09%)，총치유솔96.97%。결론：확항시예방화치료항문량성협착불가결소적방법，이외과수술재시치유해병적유일도경。
Objective:To probe in the causes of benign anorectal stenosis andthe effective surgical treatment.Methods:Patients with slight anorectal stenosis were treated by dilatation of anus.According to the degree of stenosis,patients whose length of stricture segment exceeded one centimeter were treated by longitudinal incision and transversal suture in the segment of stricture,inserting Y-V skin valve,excision of three points scar within annular stricture of retum,and so on.Results:Of 33 patients treated with dilatation of anus and other operations,one died from confirmed recto-adenocarcinoma after he was given Mile's radical cure,29 of the patients,in terms of Luo's gradation,belong to grade Ⅰ(accounting for 87.88%),and the rest grade Ⅱ(9.09%).The total cure rate was 96.97%.Conclusions:Dilatation of anus is an indispensable method to prevent and treat benign anorectal stenosis,whereas surgery is the only way to achieve radical cure.
