Wang C H
Dis Colon Rectum. 1985 Aug;28(8):604-7. doi: 10.1007/BF02554157.
Two cases of diffuse cavernous hemangioma of the rectum and rectosigmoid colon are reported. Sphincter-saving procedures were applied as the surgical treatment for these two patients. The diseased rectum and distal sigmoid colon were resected 3 cm above the pectinate line. The mucosa of the rectal stump was extirpated. All visible residue from the hemangiomatous tissues on the muscular cuff, pararectal space, and pelvic wall were denuded. The normal colon was then pulled down through the rectal cuff and anastomosed with anoderm, and attached to the internal sphincter muscle. Both patients recovered uneventfully. No uncontrollable hemorrhage was encountered during rectal dissection. Both patients had good anal sensation and perfect continence. No complicated sexual or urinary disturbances were found. The sphincter-saving procedure for treatment of diffuse cavernous hemangioma of the rectum should be promoted and given first choice whenever possible.
报告了两例直肠及直肠乙状结肠弥漫性海绵状血管瘤病例。对这两名患者采用了保留括约肌的手术方法进行治疗。在齿状线以上3厘米处切除病变的直肠和乙状结肠远端。切除直肠残端的黏膜。清除肌肉袖套、直肠旁间隙和盆腔壁上血管瘤组织的所有可见残留物。然后将正常结肠经直肠袖套下拉，与肛管皮肤吻合，并附着于内括约肌。两名患者均顺利康复。直肠解剖过程中未发生无法控制的出血。两名患者肛门感觉良好，控便功能完美。未发现复杂的性或泌尿系统功能障碍。治疗直肠弥漫性海绵状血管瘤的保留括约肌手术应予以推广，尽可能作为首选。
