1、第二軍醫(yī)大學(xué)碩士學(xué)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(qǐng)學(xué)位級(jí)別：碩士專業(yè)：普通外科學(xué)指導(dǎo)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(duì)高齡老年低位直腸癌患者保肛手術(shù)后控便機(jī)的變化情況進(jìn)行研究。通過對(duì)不同年齡段老年患

2、者對(duì)比研究，發(fā)現(xiàn)隨著年齡的增加保肛手術(shù)后控便機(jī)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(jī)能的降低可逐漸術(shù)后(十二月個(gè)左右)獲得改善。對(duì)手術(shù)方式對(duì)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(yīng)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