中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
18期
180-187
,共8页
器官移植%器官移植学术探讨%自体肌肉移植%肛门括约肌%重建%臀大肌%股薄肌%直肠癌%肛门失禁%肛门狭窄%感染%动脉%神经
器官移植%器官移植學術探討%自體肌肉移植%肛門括約肌%重建%臀大肌%股薄肌%直腸癌%肛門失禁%肛門狹窄%感染%動脈%神經
기관이식%기관이식학술탐토%자체기육이식%항문괄약기%중건%둔대기%고박기%직장암%항문실금%항문협착%감염%동맥%신경
organ transplantation%academic discussion of organ transplantation%autologous muscle transplantation%anal sphincter%reconstruction%gluteus maximus%gracilis%colorectal cancer%anal incontinence%anal stenosis%infection%artery%nerve
背景:有效的人工肛门括约肌重建能够改善肛门失禁患者的生存能力和生活质量.目的:评价自体肌肉移植重建人工肛门括约肌的效果.
方法:分析自体臀大肌和股薄肌移植重建人工肛门括约肌的解剖学基础,并对应用自体臀大肌和股薄肌移植重建人工肛门括约肌的患者进行随访观察,通过评估人工肛门控便功能恢复情况以及相关并发症发生情况,明确自体臀大肌和股薄肌移植重建人工肛门括约肌的应用效果.
结果与结论:臀大肌和股薄肌均有丰富的血液供应,并且营养肌肉的动脉均有相应静脉和神经伴行.对应用自体臀大肌和股薄肌移植重建人工肛门括约肌的患者随访观察发现,患者多为直肠癌或者肛管癌,经过自体肌肉移植重建人工肛门括约肌后,均能获得较好的肛门排控便功能,较少发生肛门狭窄、肛周感染等并发症,无机体排斥反应的发生.
揹景:有效的人工肛門括約肌重建能夠改善肛門失禁患者的生存能力和生活質量.目的:評價自體肌肉移植重建人工肛門括約肌的效果.
方法:分析自體臀大肌和股薄肌移植重建人工肛門括約肌的解剖學基礎,併對應用自體臀大肌和股薄肌移植重建人工肛門括約肌的患者進行隨訪觀察,通過評估人工肛門控便功能恢複情況以及相關併髮癥髮生情況,明確自體臀大肌和股薄肌移植重建人工肛門括約肌的應用效果.
結果與結論:臀大肌和股薄肌均有豐富的血液供應,併且營養肌肉的動脈均有相應靜脈和神經伴行.對應用自體臀大肌和股薄肌移植重建人工肛門括約肌的患者隨訪觀察髮現,患者多為直腸癌或者肛管癌,經過自體肌肉移植重建人工肛門括約肌後,均能穫得較好的肛門排控便功能,較少髮生肛門狹窄、肛週感染等併髮癥,無機體排斥反應的髮生.
배경:유효적인공항문괄약기중건능구개선항문실금환자적생존능력화생활질량.목적:평개자체기육이식중건인공항문괄약기적효과.
방법:분석자체둔대기화고박기이식중건인공항문괄약기적해부학기출,병대응용자체둔대기화고박기이식중건인공항문괄약기적환자진행수방관찰,통과평고인공항문공편공능회복정황이급상관병발증발생정황,명학자체둔대기화고박기이식중건인공항문괄약기적응용효과.
결과여결론:둔대기화고박기균유봉부적혈액공응,병차영양기육적동맥균유상응정맥화신경반행.대응용자체둔대기화고박기이식중건인공항문괄약기적환자수방관찰발현,환자다위직장암혹자항관암,경과자체기육이식중건인공항문괄약기후,균능획득교호적항문배공편공능,교소발생항문협착、항주감염등병발증,무궤체배척반응적발생.
@@@@BACKGROUND:Effective artificial anal sphincter reconstruction can improve the survival and quality of life of patients with anal incontinence. @@@@OBJECTIVE:To evaluate the effect of autologous muscle transplantation on the reconstruction of artificial anal sphincter. @@@@METHODS:The anatomical basis of autologous gluteus maximus and gracilis transplantation for artificial anal sphincter reconstruction was analyzed, and the patients received artificial anal sphincter reconstruction with autologous gluteus maximus and gracilis transplantation were fol ow-up observed. The effect of autologous gluteus maximus and gracilis transplantation on artificial anal sphincter reconstruction was identified through evaluating the recovery of bowel control of artificial anus and the incidence of complications. @@@@RESULTS AND CONCLUSION:Both gluteus maximus and gracilis had the rich blood supply, and the arteries used to provide nutrition to the muscles had the corresponding veins and nerves accompanied. The patients received artificial anal sphincter reconstruction with autologous gluteus maximus and gracilis transplantation were fol ow-up observed and showed that the patients were mostly suffered colorectal cancer or anal cancer. After artificial anal sphincter reconstruction with autologous muscle transplantation, al the patients obtained good bowel control and defecation function with less anal stenosis, perianal infection or other complications, and no rejection was observed.
