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我院从1985年6月-1988年8月对低位直肠癌不适宜原位肛门重建术的患者行腹壁人工肛门术式的改进,术后对大便控制取得满意效果。现报告如下: 一、一般资料: 男性9例,女性13例,年龄27-62岁,平均53岁,病程4个月-2年;低分化腺癌12例,粘液腺癌2例,腺癌8例。按国际TNM分期:Ⅲ期16例,Ⅳ期6例。本组在外院被误诊为痔疮和肛裂的有6例,慢性肠炎有7例,占本组病例59％。
In our hospital from June 1985 to August 1988, patients with low rectal cancer who were not suitable for orthotopic anorectal reconstruction were treated with an artificial abdominal anal fistula, and postoperative bowel control achieved satisfactory results. The report is as follows: I. General information: 9 males and 13 females, aged 27-62 years, mean 53 years, duration 4 months-2 years; 12 poorly differentiated adenocarcinomas, 2 mucinous adenocarcinomas, adenocarcinoma 8 cases. According to international TNM staging: 16 cases of stage III, 6 cases of stage IV. The group was misdiagnosed as acne and anal fissure in 6 cases in the external hospital, 7 cases of chronic enteritis, accounting for 59% of the cases.