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[临床研究结果对实际结肠和直肠手术的解读]

[Interpretation of results of clinical studies for practical colon and rectum surgery].

作者信息

Thiede A, Jostarndt L, Hamelmann H

出版信息

Zentralbl Chir. 1985;110(9):539-57.

PMID:3892976
Abstract

Systemic antibiotic prophylaxis in surgery of the colon and rectum is principally useful. It should be administered only on the day of surgery. Stapling makes it possible to enlarge the indication for deeper rectal resection. In cases of deep rectal anastomoses in men bladder dysfunction has to be expected in a considerable percentage. Anal continence does not depend on the anastomotic technique but on the anastomotic level in relation to its distance from the ano-cutaneous line and in consequence on the loss of reservoir capacity.

摘要

结肠直肠手术中全身性抗生素预防主要是有用的。它应仅在手术当天给药。吻合器使扩大直肠深部切除术的适应证成为可能。在男性直肠深部吻合的情况下,相当大比例的患者会出现膀胱功能障碍。肛门节制并不取决于吻合技术,而是取决于吻合部位与肛门皮肤线的距离,进而取决于贮尿能力的丧失。

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