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[直肠壶腹置换]

[Replacement of the rectal ampulla].

作者信息

Hansen H

出版信息

Langenbecks Arch Chir. 1985;366:273-7. doi: 10.1007/BF01836647.

Abstract

In ulcerative colitis, polyposis coli, deep seated cancer and other diseases of the rectum the bowel continuity can be restored without loss of continence, despite the removal of the entire ampulla recti. After proctocolectomy and ileoanostomy the loss of the natural receptaculum is compensated through the positioning of an ileal pouch. After total resection of the rectum and coloanal anostomosis the excised ampulla is replaced with acceptable functional results by the mobilised left colon.

摘要

在溃疡性结肠炎、结肠息肉病、直肠癌深部病变及其他直肠疾病中,尽管切除了整个直肠壶腹,但肠道连续性仍可恢复,且不会丧失控便能力。在直肠结肠切除术后行回肠造口术时,通过放置回肠袋可弥补天然贮器的缺失。在直肠全切除及结肠肛管吻合术后,游离的左半结肠可替代切除的壶腹,功能效果良好。

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