摘要
从１９８７年４月至１９９４年３月，作者共手术治疗中低位直肠癌５１例，其中Ａ组为低位前切除术１２例，Ｂ组为腹会阴联合切除术３２例，Ｃ组为股薄肌原位重建肛门术７例。分别随访１～７年，三组５年生存率分别为８８０％、４５０％和４００％。Ａ组５年生存率显著高于Ｂ组及Ｃ组（Ｐ＜００５），Ｂ、Ｃ两组５年生率相近（Ｐ＞００５）。作者认为：①切除后肛直肠环保持完整；②肿瘤直径小于３ｃｍ；③深度不超过肌层；④组织学分化较好，可作低位前切除术。股薄肌原位重建肛门术后排便控制功能远期效果不佳，现已放弃这一术式。
The authors reported 51 cases of curative resection for middle low rectal cancer from April 1987 to March 1994.Among them,the Group A consisted of low anterior resection 12 cases,Group B abdominoperineal resection 32 cases,and Group C orthotopic reconstruction of anus with Gracilis muscle 7 cases.The follow up preiod was 1～7 years.The 5 year survival rate of each group was 88.0%,45.0%and 40.0%,respectively.The 5 year survival rate in group A was significantly higher than that in other two groups ( P <0 05),but not significantly different in group B and C ( P< 0 05).The authors believe that Group A operation should be strictly in accordance with the following criteria:①the sphincter ring of anorectal is intact;②tumor diameter less than 3 cm;③tumor invasion no deeper than the musculus;④histologically well differentiated.It was more difficult to control discharge stool by the operative style of Group C for the long-term result after operation,therefore,this style is unsuitable in authors opinion.
出处
《实用癌症杂志》
1997年第1期40-42,共3页
The Practical Journal of Cancer
关键词
直肠肿瘤
切除术
原位重建肛门术
股薄肌
术式
Rectal neoplasms Low anterior resection Abdominoperineal resection Orthotopic reconstruction of anus Gracilis muscule
