全结肠切除,直肠粘膜切除和建有回肠贮器的直肠内回肠替代(endorectal ileal pullthrough with ileal reservair, PTR)手术,用于治疗溃疡性结肠炎和家族性息肉病,避免了传统的永久性回肠造瘘;由于保留直肠浆肌层,基本消除了诸如膀胱功能障碍,阳萎和慢性腹腔窦道等传统手术的弊端;接受PTR患者,术后的排便节制和频率令人满意,手术死亡率亦降低.本文就UCLA医学中心的196例PTR资料, Total colon resection, rectal mucosal resection, and endorectal ileal pullthrough with ileal reservair (PTR) surgery are used to treat ulcerative colitis and familial polyposis and avoid the traditional permanent ileum Fistulas. Due to the preservation of the rectal muscle layer, the drawbacks of traditional surgery such as bladder dysfunction, impotence and chronic celiac sinus were basically eliminated. Patients receiving PTR had satisfactory postoperative defecation control and satisfactory frequency of surgical death Reduce.This article UCLA Medical Center, 196 cases of PTR data,