摘要
目的探讨全直肠系膜切除术(TME)的合理实施及临床应用。方法回顾性分析2008年11月至2009年6月年以来164例全直肠系膜切除术的直肠癌患者的临床资料。结果 164例中无手术死亡病例,Miles术23例,141例保肛,141例吻合器吻合,保肛成功率86.9%(141/164),术后吻合口瘘2例,1急诊行结肠造瘘术,1例1个月后改行Miles术。无骶前大出血病例,术后近期排尿困难1例,近期大便失禁1例。术后16个月复发1例来院行再手术切除。结论全直肠系膜切除术(TME)的合理实施可使手术病死率、术中大出血发生率降低,复发率降低,可有效保存盆腔脏器功能。
Objective To investigate the clinical application of the total mesorectal excision（TME） of rectal cancer.Methods The clinical data of 164 patients of rectal cancer who performed TME from November 2008 to June 2009 were analyzed retrospectively.Results All patients achieved successful operation.23 accepted Miles operation,141 accepted sphincter saving resection.Anastomats were used in 11 patients,sphincter saving rate was 86.9%.2 patients occurred postoperative anastomosis leakage,1 paitent acceped emergency operation of colostomy at first and Miles operation 1 month later.There was no case with presacral hemorrhage.1 case with short-term dysuria and another case with short-term fecal incontinence.1 recurrent case underwent the second operation byway of Miles 16 months after the operation.Conclusion TME can reduce the operative mortality and presacral hem orrhage in operation,prevent the local recurrence,and preserve the function of pelvic organ.
出处
《中国实用医药》
2011年第11期51-53,共3页
China Practical Medicine
关键词
全直肠系膜切除术
直肠癌
手术
疗效
Total mesorectal excision
Rectal cancer
Surgical operation
Effect
