摘要
目的 探讨低位直肠癌五种不同术式对其根治率、预后以及排便功能、生活质量的评价。方法 通过对161例低位直肠癌下缘距肛缘距离和Dukes分期与保肛术式的不同,选择了miles、低位吻合、超低位吻合、park's、Bacon五种术式,并且对此进行了排便功能和五年生存率和局部复发率的随访。结果 低位直肠癌的保肛率达58.39％。其中,低位吻合9例,超低位吻合48例,park's手术25例,Bacon手术13例。手术死亡率为2.1％(2例),吻合口瘘3例(3.19％),吻合口狭窄率为13.8％。术后排便功能优良率:低位为100％,超低位吻合为97.91％,park's手术为88％,Bacon手术为53.33％。五年生存率和局部复发率:低位吻合为82％、0％;超低位吻合为78.9％、4.16％;park's手术为69.1％、13％;Bacon手术为63.1％、12％。结论 保肛手术与传统的miles手术在五年生存率与局部复发率方面没有明显的差别,保肛手术是一种积极有效的治疗措施。
Objective To evaluate the radical rate,prognosis,coprodaem function and life quality of 5-operating modes on patients with low rectal cancer. Methods Selecting 5 operating modes (low anastomosis, lower anastonosis, Miles, Park's,Bacons) based on the distance from tumor to anus and Dukes grading and analyzing the follow-up results of several factors,such as the coprodaem function,5-year survival rate and local recurrence, in 161 patients with low rectal cancer. Results The reserving anus rate of patients with low rectal cancer was 58. 39%,including low anastomosis 9 cases,lower anastomosis 48 cases,Park's operation 25 cases,Bacon operation 13 cases. Mortality was 2. 1%(2 cases) ,anastomosis stoma fistula 3. 19% (3 cases), anastomosis stoma stenosis 13. 8%. Coprodaeum function of postoperation: low anastomosis 100%,lower anastomosis 97. 91% .park's operation 88% ,Bacon operation 53. 33%. 5-year survival rate and local recurrence:low anastoma-sis 82%,0%;lower anastomosis 78. 9%,4. 16%;Park's operation 69. 1%,13%;Bacon operation 63. 1%,12%. Conclusion There was no significant differences in 5-year survival rate and local recurrence between the miles operation and the reserving anus one. The operation of reserving anus was an effective method.
出处
《青岛医药卫生》
2000年第2期86-88,共3页
Qingdao Medical Journal
关键词
低位直肠癌
保肛手术
评价
Low rectal cancer Reserving anus Operation evaluate
