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患者,女,59岁。因“大便性状改变3个月,便血3天”入院,既往有2型糖尿病、高血压病史,无腹部手术史,术前结肠镜检查提示距肛门3 cm后壁有约3.0cm×3.0 cm×1.0 cm的新生物,表面糜烂,质地脆,取活检为直肠中分化腺癌。完善术前准备,行腹腔镜下直肠癌根治术(Miles术),手术顺利,术后对症支持治疗。根据病检结果,诊断为直肠中-低分化腺癌Ⅲ期(PT3N0M0)。拆线后患者行规范化疗、放疗抗肿瘤综合治疗措施,期间多次出现不完全性肠梗阻,给予保
Patient, female, 59 years old. Because of “stool changes 3 months, 3 days of blood in the stool” admission, past history of type 2 diabetes mellitus, history of hypertension, no history of abdominal surgery, preoperative colonoscopy tips from the anal 3 cm behind the wall about 3.0cm × 3.0 cm × 1.0 cm of new organisms, surface erosion, crisp texture, biopsy for rectal differentiation of adenocarcinoma. Perfecting the preoperative preparation, laparoscopic radical resection of rectal cancer (Miles operation), the operation was successful, postoperative symptomatic and supportive treatment. According to the results of pathological examination, the diagnosis of rectal moderate-poorly differentiated adenocarcinoma stage (PT3N0M0). Stitches after the line of standard chemotherapy, radiotherapy and anti-tumor comprehensive treatment measures, during which many cases of incomplete intestinal obstruction, give protection