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我院自1993年～1996年对18例低位直肠癌患者行保肛手术治疗,取得较好疗效,现报告如下:1 临床资料1.1 一般情况 本组18例均为腹膜返折以下,癌肿距肛缘>4cm,<8cm的低位直肠癌患者,均经手术及病理证实.其中男14例,女4例;年龄22～67岁.癌肿距肛缘4cm～5cm者3例,5cm～8cm者15例.DukesA_2期3例,B期12例,C_1期2例,C_2期1例.病理检查:大体类型,隆起型7例,溃疡型9例,浸润型2例,癌肿侵占肠腔周径<1/4者5例,1/4～1/2者10例,>1/2者2例,>3/4者1例,直肠上下端切缘无癌残留者17例、直肠下端切缘有癌残留者1例,直肠系膜淋巴结阴性者15例、阳性者3
In our hospital from 1993 to 1996, 18 patients with low rectal cancer underwent sphincter preserving surgery and achieved good results. The current report is as follows: 1 Clinical data 1.1 In general, 18 cases of this group were below the peritoneal fold, cancerous distance The patients with rectal cancer with >4cm and <8cm were confirmed by surgery and pathology. Among them, 14 were males and 4 were females; aged 22 to 67 years. 3 cases of cancer from 4cm to 5cm in anal margin, 5cm to 8cm Among 15 cases, 3 were in Dukes A 2 phase, 12 in B phase, 2 in C 1 phase, and 1 in C 2 phase. Pathological examinations: gross type, 7 cases of uplift type, 9 cases of ulcer type, 2 cases of infiltrative type, cancer invading the intestine There were 5 cases with a circumference less than 1/4, 10 cases with a 1/4 to 1/2, 2 cases with >1/2, and 1 case with >3/4. There were 17 cases of rectovaginal resection at the upper and lower ends of the rectum and rectum. There was 1 case of cancer residual in the lower margin, 15 cases of mesenteric lymph node negative, and positive 3