CAJ | 학술논문

目的：研究经腹会阴直肠癌切除术及盆底重建改进的临床应用。方法将该院2008～2011年收治的60例直肠癌患者分为实验组和对照组，每组30例。实验组患者通过柱状经腹会阴直肠癌切除术治疗，术后盆底缺损给予真皮基质重建；对照组患者则通过传统M iles对直肠癌进行切除。结果柱状经腹会阴切除术与传统开腹切除术相比，其在手术时间、术中出血量、术后病理T3 N0 M0、并发症发病率及切口阳性率方面均有明显优势（P＜0．05）。结论柱状经腹会阴直肠癌切除术与Miles手术相比可以降低术后切缘阳性率及肠穿孔的发生。人类脱细胞真皮基质（HADM ）盆底重建可大大降低手术操作的难度及手术风险。
목적：연구경복회음직장암절제술급분저중건개진적림상응용。방법장해원2008～2011년수치적60례직장암환자분위실험조화대조조，매조30례。실험조환자통과주상경복회음직장암절제술치료，술후분저결손급여진피기질중건；대조조환자칙통과전통M iles대직장암진행절제。결과주상경복회음절제술여전통개복절제술상비，기재수술시간、술중출혈량、술후병리T3 N0 M0、병발증발병솔급절구양성솔방면균유명현우세（P＜0．05）。결론주상경복회음직장암절제술여Miles수술상비가이강저술후절연양성솔급장천공적발생。인류탈세포진피기질（HADM ）분저중건가대대강저수술조작적난도급수술풍험。
Objective To study the abdominal perineal resection for rectal cancer and clinical application of pelvic floor recon-struction .Methods 30 cases of rectal cancer patients from 2008-2011 were randomly divided into experimental group and the con-trol group ,30 cases in each group .Experimental group patients by columnar abdominal perineal resection of rectal cancer treatment , postoperative pelvic floor defect for dermal matrix reconstruction .The control group patients for colorectal cancer resection by lapa-rotomy .Results Compared with the traditional open resection ,the operation time ,intraoperative blood loss ,postoperative patholog-ical column T3 N0 M0 positive rate ,incidence of complications and incision aspect of cylindrical abdominal perineal resection were ob-vious advantages ,the difference was statistically significant (P< 0 .05) .Conclusion Compared with Miles surgery ,cylindrical ab-dominal perineal resection for rectal cancer can reduce the incidence of postoperative incisal edge positive rate and bowel perfora -tion .Human decellularized dermal matrix basin redevelopment can significantly reduce the surgical risk and difficulty of surgical op-erations .