肛门狭窄

Methods On the operation process of the 15th patient suffered actual anal scar straitness deformity, We have designed an axial pattern skin flap whose axes is inferior rectum artery branches or scrotum, and the crissum wound caused by excising scar with ring coverage.

在15例真性肛门瘢痕狭窄畸形患者手术过程中，设计以直肠下动脉皮支或阴囊后动脉为轴心血管的轴型皮瓣，环形覆盖切除瘢痕后形成的肛周创面。

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。

Objective Introduce the methods and effect of curing actual anal scar straitness deformity with sideward axial pattern skin flap.

目的：介绍应用邻位轴型皮瓣治疗真性肛门瘢痕狭窄畸形的方法和经验。

The incision ache, healing time, edema of anus margin, rectal narrow, incontinence, mucosa everting and so on was observed.

混合痔患者100例，运用痔上动脉结扎内痔悬吊术治疗，观察术后切口疼痛、愈合时间、术后肛缘水肿、肛门狭窄、失禁及粘膜外翻等情况。

Abstract］ objective to investigate anus sphincter preserved surgical method and indication for low rectal cancer.methods 15 cases with low rectal cancer were operated with eversion and pull-through anus preserved colorectal anastomosis through anus.results no patients died of operation,no patients was with fistula and stricture of anastomosis,no defecation incontinence happened after postoperative 20 weeks,only one patient was with local recurrence.following up for 8 months to 5 years,5 cases were with distant metastasis,4 of these died,one of these had lived with liver metastasis for 3 years.conclusion the indication of anus preserved operation should be chosen according to clinical stage and biological characteristic of rectal malignancy; eversion and pull-through anus preserved colorectal anastomosis through anus is a better anus preserved operation for low rectal cancer.

目的 探讨低位直肠癌保留肛门括约肌功能的手术方法和手术适应证。方法对低位直肠癌经腹经肛门直结肠外翻拉出保留肛门吻合术15例。结果全组无手术死亡，未发生吻合口漏和吻合口狭窄，局部复发1例，20周左右恢复正常排便排气功能，无大便失禁病例。随访8个月～5年，5例为远处转移，死亡4例，其中1例肝转移3年仍生存。结论根据直肠癌的临床分期和肿瘤的生物学特性选择保肛手术适应证，经腹、肛门齿线上直肠癌根治性切除，行肛门直结肠外翻拉出吻合是低位直肠癌较好的保肛术式。

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。