高齡低位直腸癌患者保肛手術(shù)后控便功能研究.pdf

1、第二軍醫(yī)大學碩士學位論文高齡低位直腸癌患者保肛手術(shù)后控便功能研究姓名：魯兵申請學位級別：碩士專業(yè)：普通外科學指導教師：傅傳剛劉連杰20050501——一，迥壁高齡低位直腸癌患者保肛手術(shù)后控便功能研究Bowelcontrolafteranusretainedoperationforelderlylowrectalcancerpatients(中文摘要)本研究對高齡老年低位直腸癌患者保肛手術(shù)后控便機的變化情況進行研究。通過對不同年齡段老年患

2、者對比研究，發(fā)現(xiàn)隨著年齡的增加保肛手術(shù)后控便機能下辟密明顯，術(shù)后短期失禁發(fā)生率明顯增離，但是這秘控便機能的降低可逐漸術(shù)后(十二月個左右)獲得改善。對手術(shù)方式對比研究發(fā)現(xiàn)高齡老年(／75_歲)患者保肛手術(shù)后采用結(jié)腸貯袋直腸肛管吻合，未增加手術(shù)并發(fā)癥發(fā)生率，能夠明顯改善高齡患者術(shù)后一年內(nèi)控便功能。只要沒有確切證據(jù)的顯示麓齡患者術(shù)后將出現(xiàn)失禁，年齡不應成為低位壹腸癌保肛手術(shù)的禁忌癥。關(guān)鍵詞：老年人：低位直腸癌；保肛手術(shù)；結(jié)腸J型貯袋[Abst

3、ract]Thereseamhconductedastudyonthebowelcontroloftheanus—retainedoperationforeldenylowrectalcancerpatientsAfteranusretainedoperation，frequencyofincontinenceinshortperiodincreasesgreatlyThebowefcontrolfunctionattenuateins

4、omedegree，andattenuatemuchmoreasagedsesupThebowelcontrolfunctionafteranusretainedoperationcangetimprovedastimegoeson(about12months)UsingthecolonicJpouch—analanastomastscouldimprovebowelcontrolfunctionobviouslyinaiderlYpa

5、tients，andcouldnotincreasescomplicationafteranus—refamedoperationAgeshouldnotbethecontraindicationofanus—retainedoperationonlyftherelsexactevidencetOproveincontinencewouldOCCUraftertheoperationKeyWordselderlypatients：low