手缝法低位结-直肠吻合术在卵巢癌直肠转移肠段切除术中的应用Application of lower colorectostomy with hand-suture technique in partial intestine excision operation of rectum metastasis from ovarian carcinoma
尹福波,汤春生,温泽清
摘要(Abstract)：
目的；探讨手缝法低位结-直肠吻合术在晚期卵巢癌直肠转移肠段切除吻合术中的价值。方法：于盆底腹膜外游离直肠下段，距离癌灶缘3cm以外切除受侵肠管，行手缝低位结-直肠吻合术。手术结束后于骶前间隙放置引流管，以防渗液蓄积继发感染。结果：10例中除1例术后9d出现吻合口瘘外，，余9例吻合口均甲级愈合。术后以PAC方案为主行腹腔和静脉联合化疗，效果良好。随访6～36个月患者均存活，其中7例临床完全缓解。结论：手缝法低位结-直肠吻合术不需借助特制器械，避免了肠造瘘的痛苦，提高了生活质量。
关键词(KeyWords)： 卵巢肿瘤;直肠转移;吻合术;外科
基金项目(Foundation):
作者(Author): 尹福波,汤春生,温泽清
DOI: 10.13283/j.cnki.xdfckjz.1999.04.004
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