| 摘要: |
| 目的:评价次全大肠切除术治疗家族性腺瘤性息肉病(FAP)的近、远期疗效.方法:回顾性分析我科1985～2000年21例FAP患者行次全大肠切除术后残留结肠或(和)直肠的结肠镜随访结果.结果:所有患者残留结肠、直肠内都有不同程度的腺瘤复发,发生率100％;残留直肠内腺瘤生长较近端的残留结肠密集;1例术后4年直肠腺瘤癌变,累积直肠癌的发生率4.8％.结论:采用保留直肠的手术方式操作简单,术后并发症少,但有残留直肠息肉癌变的危险. |
| 关键词: 腺瘤息肉病,结肠、次全大肠切除术、治疗结果 |
| DOI：10.3724/SP.J.1008.2006.00367 |
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| 基金项目: |
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| Outcomes of subtotal proctocolectomy for familial adenomatous polyposis: a follow-up study of 21 clinical cases |
| 于恩达,徐晓东,孟荣贵,YU En-da,XU Xiao-dong,MENG Rong-gui |
| () |
| Abstract: |
| Objective：To evaluate the short- and long-term outcomes of subtotal proctocolectomy for familial adenomatous polyposis （FAP）. Methods： Twenty-one FAP patients who had undergone subtotal proctocolectomy during 1985-2000 in our department were followed up colonoscopically to observe whether there was any recurrence of polyps in postoperatively residual colon or/and rectum. Results： Adenomatous recurrence with variant degrees was detected in the residual colon or/and rectum in all 21 patients, the recurrence rate being 100%. Polypous growth was denser in the residual rectum than in the proximal residual colon. The adenomatous polyp in one patient cancerized 4 years after the initial operation. The cumulative occurrence of colorectal cancer was 4.8 %. Conclusion： Subtotal proctocolectomy is a simple procedure for FAP with fewer complications, but there is a risk of polyps cancerization in the residual colon or/and rectum. |
| Key words: adenomatous polyposis coil subtotal proctocolectomy treatment outcome |
