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直肠癌切除吻合前远端肠腔灌洗的作用(附56例报道) 被引量：3

Effect of Rectal Stump Lavage Before Anastomosis of Anterior Resection for Rectal Cancer (Report of 56 Cases)
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摘要 目的研究直肠癌切除后肠吻合前进行肠腔灌洗的临床作用。方法对我院2006年6月至2007年2月期间连续56例行直肠癌低位前切除吻合的病例在切除原发灶、行远端封闭吻合前行生理盐水远端肠腔灌洗,收集灌洗前、后2份标本分别涂片行细胞学检查。结果灌洗前收集液中观察到肿瘤细胞或核异形细胞者7例,中性粒细胞者24例,上皮细胞者4例;灌洗后所有患者的收集液中均未观察到肿瘤细胞(P<0.05),19例仍有少许中性粒细胞或上皮细胞。结论低位直肠癌远端肠腔有可能存在脱落的肿瘤细胞。对直肠癌患者手术切除病灶后吻合前行远端肠腔灌洗的方法简单易行,可以显著减少或清除肠腔内可能残留的肿瘤细胞,从而可避免此类原因所致的局部肿瘤复发,值得提倡。
作者 胡康 陈育民 张伟 李平 王康 郭志义 王波 胡大学 杨伟明
机构地区 四川省医学科学院.四川省人民医院胃肠外科 成都市温江区人民医院外科 四川省医学科学院.四川省人民医院病理科
出处 《中国普外基础与临床杂志》 CAS 2008年第11期849-850,共2页 Chinese Journal of Bases and Clinics In General Surgery
关键词 直肠 灌洗 恶性 脱落
分类号 R735.37 [医药卫生—肿瘤]
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参考文献9

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二级参考文献31

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共引文献4

同被引文献39

  • 1赵亮,王永鹏,刘放.直肠癌保肛手术中影响肠腔肿瘤细胞脱落的相关因素分析[J].中华临床医师杂志（电子版）,2012,6(18):167-169. 被引量：3
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引证文献3

二级引证文献1

中国普外基础与临床杂志
2008年 第11期

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