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全直肠系膜切除术治疗直肠癌的临床疗效评价 被引量:8

The clinical therapeutic evaluation of total mesorectal excision in the treatment of rectal cancer
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摘要 目的研究全直肠系膜切除术(TME)治疗直肠癌的临床效果。方法将入住本院的80例直肠癌患者的临床资料进行对比分析。对照组采用常规直肠癌根治术,观察组采用全直肠系膜切除术。对两组患者治疗后的生存质量进行比较。结果两组患者治疗所需的手术时间、局部复发率、5年生存率以及术中出血量等差异具有统计学意义(P<0.05);两组患者生存质量比较,差异具有高度统计学意义(P<0.01)。结论全直肠系膜切除术治疗直肠癌疗效显著,能够减少术后复发率与转移,且显著提高患者生存质量,值得临床推广与研究。 Objective To study the clinical therapeutic effect of total mesorectal excision (TME) in the treatment of rectal cancer. Methods Clinical data from 80 patients with rectal cancer admitted into our hospital were comparatively analyzed. In control group the patients were treated by conventionally radical resection of rectal carcinoma, while pa- tients in observation group were adopted TME. The postoperative quality of life was compared between the two groups. Results The operation time, local recurrence rate, five year survival rate, and intraoperative blood loss in the two groups displayed statistical differences (P 〈 0.05). The difference of quality of life in both groups was in a highly sta- tistical significance (P 〈 0.01). Conclusion The therapeutic effect of TME in the treatment of rectal cancer is obvious. It can reduce the postoperative recurrence rate and metastasis, and also greatly improve patient's quality of life, which is worthy of clinical extension and further research.
作者 聂玮
机构地区 湖北省中医院
出处 《中国当代医药》 2013年第10期44-45,共2页 China Modern Medicine
关键词 全直肠系膜切除术 直肠癌 疗效 生存质量 Total mesorectal excision (TME) Rectal cancer Therapeutic effect Quality of life
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