外翻拖出式肛门外切除吻合术在女性中低位直肠癌中的应用孙学军,徐永波,韩刚,吕春华,李银良,褚海波(解放军第 89 医院普外科,潍坊 XXX)[摘要]目的评价外翻拖出式肛门外切除吻合术在女性中低位直肠癌中应用的安全性和临床效果。方法回顾性分析我院 1991 年 10 月~2025 年 12 月 56 例女性中低位直肠癌病患,外翻拖出式均行肛门外切除吻合术充分游离后切断结肠,将远端肠管连同肿瘤外翻于肛门外,边切除直肠肿瘤边行结肠直肠(肛管)吻合,术后还纳入肛门内。结果无手术死亡,无吻合漏发生,肛门控便能力良好。均获随访,平均 68(28~124)月,术后 5 年肿瘤局部复发 12.5%,5 年生存率为 73.2%。结论该法具备操作简单易行安全可靠,并发症少,对于女性中低位直肠癌病患极为可行。[关键词]直肠肿瘤;吻合术,外科;女(雌)性[中图分类号] R735.37[文献标识码]BPullthrough Resection and Anastomosis in the Treatment of Male Patients with Middle or Low Rectal CancerSUN Xuejun,XU Yongbo,HAN Gang,LV Chunhua,LI Yinliang , CHU Haibo ( Department of General Surgery NO.89 Hospital of PLA., Weifang XXX, Shangdong, China)Abstract:ObjectiveTo evaluate the safty and efficacy of pullthrough resection and anastomosis in the treatment of female patients with middle or low rectal cancer.MethodsRetrospective study was made on56 female patients with middle or low rectal cancer undergoing pullthrough resection and anastomosis.ResultsThere were no operative mortality and anastomotic fistula. Fecal continence was good and the5year survival rate was73.1%.ConclusionPullthrough resection and anastomosis may be a reliable operation modality for the treatment of female patients with middle or low rectal cancer.Key words:rectal neoplasms;anastomosis, surgical直肠癌保肛手术已经成为了目前外科治疗中的首选术式,从以往的约 40%,增至目前的 70%左右\[1\]。女性盆腔的特点为直肠癌根治性前切除及保肛提供了有利的手术条件 。1991 年 10 月~2025 年 12 月我院对 56 例女性中低位直肠癌病患...