直肠狭窄

Objective To observe the curative effect of treatment of congenital rectum stenosis.

目的 观察先天性直肠狭窄的治疗效果。

Colon anal disease:① congenital diseases, such as Hirschsprung's disease;② mesocaval narrow, such as inflammatory bowel disease, trauma and post-intestinal anastomosis narrow, and the transfer of tumor-induced intestinal stenosis;③ exports obstruction, such as the pelvic floor achalasia, rectal intussusception, perineal decline rectocele and so on;④ anal and perianal diseases, such as anal fissure, hemorrhoids, etc.;⑤ Others: such as irritable bowel syndrome.

大肠肛门病：①先天性疾病，如先天性巨结肠；②肠腔狭窄，如炎性肠病、外伤后期及肠吻合术后的狭窄、肿瘤及其转移所致肠狭窄；③出口性梗阻，如盆底失弛缓症、直肠内套叠、会阴下降、直肠前突等；④肛管及肛周疾病，如肛裂、痔等；⑤其他：如肠易激惹综合征。

Rectostenosis were divided into three types,circular,cannular and linear.Results All operations were successful.

回顾分析1992～2005年，经骶侧路手术治疗直肠低位炎性狭窄20例资料，狭窄类型包括环型狭窄、管状狭窄、线状狭窄。

Methods 20patients with congenital rectum stenosis were treated with corresponding approach according to degree of stenosis.The dilatation was performed by a dilater and finger to the cases of low variety of rectum stenosis.

对20例先天性直肠狭窄的患者，根据狭窄的位置高低和程度采用不同的治疗方法，对低位狭窄行单纯扩张法，即用扩肛器、手指进行扩张。

Results Of the operation for 196 patients, intraoperative complications occurred in three patients, postoperative complications in 17, which included presacral venous hemorrhea, prostatic bleeding, ureteric injury, wound infection, anastomotic leakage, rectovaginal fistula, anastomotic stricture, fistulous necrosis and stricture, and acute urinary retention.

结果 196例直肠癌病人发生术中并发症3例(1.5%)，手术后并发症17例(8.7%)，包括骶前静脉大出血、前列腺出血、输尿管损伤、切口感染、吻合口漏、直肠阴道瘘、吻合口狭窄、急性尿潴留和造口坏死狭窄等。

Results Of the operation for 196 patients,intraoperative complications occurred in three patients,postoperative complications in 17,which included presacral venous hemorrhea,prostatic bleeding,ureteric injury,wound infection,anastomotic l...

结果196例直肠癌病人发生术中并发症3例(1.5%)，手术后并发症17例(8.7%)，包括骶前静脉大出血、前列腺出血、输尿管损伤、切口感染、吻合口漏、直肠阴道瘘、吻合口狭窄、急性尿潴留和造口坏死狭窄等。

Results CT scan indicated that cancer relapsed 3 to 84 months after surgery.For patients with colostomy,the CT scan showed nodular or lobulated mass in the areas of perineum and presacralis,as well as loss of presacral fat space.For patients without colostomy.CT finding included thickened rectal wall with unregular proximal tumor,rectal obliteration,rectostenosis and ddisplacement of perirectal fat space.

结果 肿瘤复发的CT表现：造瘘术后CT表现为会阴及骶前区肿块，呈结节状或分叶状，骶前脂肪间隙消失；无造瘘术后CT表现新直肠壁增厚伴不规则偏心性肿块，管腔狭窄及闭塞，直肠周围脂肪间隙狭窄移位。

Rectal narrowing, thickening of the wall, and increased presacral space are typical in chronic ulcerative colitis and are well depicted at CT (Fig 4). These features result from the mural thickening, rectal narrowing, and proliferation of fat.

直肠狭窄壁厚以及骶前间隙扩大是慢性溃疡性结肠炎的典型表现，而且CT 能够很好的显示，这些表现来源于肠壁增厚、肠腔狭窄以及脂肪增生

For 40 more years, we have insisted in using the combination method of Chinese Traditional Medicine and Western Medicine and Cured 500,000 more patients who suffered from some diseases as internal hemorrhoid, external hemorrhoid, mixed hemorrhoid, anal fissure, anal fistula, perianal abscess, intestinal polyp, prolepses of rectal mucosa, costingpation, proctatresia, stricture of anus, rectoperineal fistula, rectal carcinoma, carcinoma of colon, proctitis, colitis, etc.

四十多年来，我们坚持用中西医结合的方法，为五十多万名患有内痔、外痔、混合痔、肛裂、肛周脓肿、肠息肉、直肠粘膜脱垂、便秘、肛门闭锁、肛门狭窄、直肠阴道瘘、直肠癌、结肠癌、直肠炎、结肠炎的患者解除了病痛。

Patients with congenital anal atresia and concomitant rectovaginal or rectoperineal fistula were undertaken Z shape plastic operation with fistula reserved. 2 patients with rectovaginal or rectoperineal fistula were removed and closed fistual and repaired os of fistula.

采用Z成形术修复先天性肛门狭窄9例，保留瘘口瘘道＋Z成形术修复先天性肛门闭锁伴直肠阴道瘘或直肠会阴瘘5例，彻底切除瘘管、分层闭合瘘道、修复瘘口治疗单纯性直肠阴道瘘或直肠会阴瘘2例。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。