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目的探讨治疗年轻宫颈癌患者术式———乙状结肠重建阴道术的新进展及临床意义。方法对本院32例年轻宫颈癌患者行乙状结肠重建阴道术。结果术后随访3~5年,除1例患者后续放射治疗没有性生活外,其余患者都有满意的性生活,且32例均无复发或转移。随访妇科检查,乙状结肠代阴道肠段均愈合良好,无缩窄,能容两指松,长度均大于10 cm,B超复查腹腔阴性,患者大便无异常。结论对年轻宫颈癌患者行乙状结肠重建阴道术,手术方式成熟,手术效果好,对提高患者生活质量有很好的作用,是对传统术式的很好补充和发展。
Objective To investigate the new procedure and clinical significance of surgical procedure for sigmoid colon reconstruction in young patients with cervical cancer. Methods 32 cases of young patients with cervical cancer in our hospital sigmoid colon reconstruction Vaginal surgery. Results All cases were followed up for 3 to 5 years. All the patients except the one with follow-up radiotherapy did not have sex life, and no recurrence or metastasis was found in 32 cases. Follow-up gynecological examination, sigmoid colon vaginal intestine healed well, no narrowing, can accommodate two fingers loose, the length is greater than 10 cm, B-ultrasound abdominal examination, the patient no abnormal stool. Conclusions The sigmoid colon reconstruction of young patients with cervical cancer vaginal surgery, surgical methods mature, good surgical results, to improve the quality of life of patients has a good effect, is a good complement to the traditional surgical procedures and development.