SURGICAL INTERVENTION FOR CANCEROUS POLYP OF LOW RECTAL_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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张伟 , 李平

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低位直肠息肉恶变术式选择

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目的探讨低位直肠息肉恶变的合理的外科手术方式。方法对我院1997年1月至2001年12月收治的32例低位直肠息肉恶变患者的资料进行回顾性分析。结果32例中经肛门局部切除20例，经腹前切除低位吻合（Dixon术）8例，经腹会阴联合切除（Miles’术）4例，其中27例术后给予放、化疗。28例获随访1~5年，2例死亡，余均无局部复发。结论低位直肠息肉恶变手术方式的正确选择是达到“根除癌肿”、“改善患者生活质量”目的的关键，术中冰冻病理检查是手术方式选择的重要依据。

Citation： 张伟,李平. SURGICAL INTERVENTION FOR CANCEROUS POLYP OF LOW RECTAL. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2002, 9(6): 431-432. doi: Copy

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1. 郑树. 大肠癌早期发现及早期治疗 [J].实用肿瘤杂志，1989; 4(3)∶129.
2. Winawer SJ.Natural history of colorectal cancer [J].Am J Med，1999； 106(1A)∶3S.
3. 张杰燕. 大肠息肉与大肠癌演变关系 [J].内镜，1994; 11(1)∶1.
4. Renner K, Bosen HR, Novi G, et al. Quality of life after surgery for rectal cancer: do we still need a permanent colostory? [J]. Dis Colon Rectum,1999; 42(9)∶1160.
5. Taylor RH, Hay JH,Larsson SN. Transanal local excision of selected low rectal cancers [J].Am J Surg, 1998; 175(5)∶360.
6. Bailey HR, Huval WV, Max E, et al. Local excision of carcinoma of the rectum for cure [J].Surgery, 1992; 111(5)∶555.
7. Adloff M,Arnoud JP,Schoegel M,et al.Factors influencing local recurrence after abdominoperineal resection for cancer of the rectum [J].Dis Colon Rectum,1985; 28(6)∶413.
8. Bleday R,Breen E,Jessup JM,et al.Prospective evaluation of local excision for small rectal cancers [J].Dis Colon Rectum,1997; 40(2)∶388.
9. 辛国明摘.T2期直肠癌局部切除的指征（英） [J].国外医学外科学分册，2002； 29（3）∶191.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

SURGICAL INTERVENTION FOR CANCEROUS POLYP OF LOW RECTAL

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