摘要
目的观察超低位直肠前切除保肛术治疗低位直肠癌的疗效。方法选取60例低位直肠癌患者分别采用超低位直肠前切除保肛术(保肛手术组)和传统Miles手术治疗(Miles手术组),每组30例,记录手术及术后随访情况。结果保肛手术组患者并发症发生率为16.7%(5/30),低于Miles手术组的43.3%(13/30),手术时间为(176±43)min,少于Miles手术组的(247±56)min;每日平均排便次数为(3±1)次,少于Miles手术组的(6±3)次,患者术后生活质量明显提高,差异有统计学意义(P<0.05);术后随访患者复发率和3、5年生存率以及发生转移情况等差异均无统计学意义(均P>O.05)。结论超低位直肠前切除保肛术疗效显著,保留患者正常排便功能,明显提高患者术后生活质量。
Objective To observe clinical effect of resection operation of ultralow rectal cancer and preserving anus in low rectal cancer.Methods 60 patients with low rectal cancer were used of resection operation of ultralow rectal cancer and preserving anus and traditional miles operation to treat respectively,30 cases each.Results The preserving anus group of patients with complication rate was 16.7%（5/30）,it was below latter group of 43.3%（13/30）.The preserving anus group had shorter operation time and less average daily stool frequency,patients postoperative quality of life were improved obviously,and the results had statistical significance（P0.05）.After postoperative follow-up,the difference of relapse rate and 3,5 years of survival rate and transfer happens was not significant,it had no statistical significance（P0.05）.Conclusions Resection operation of ultralow rectal cancer and preserving anus has more advantages,It can retain normal bowel function in patients and increasethe postoperative quality of life with patients significantly.
出处
《中国肿瘤临床与康复》
2013年第7期762-763,共2页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
低位直肠癌
MILES手术
超低位
保肛术
疗效
Low rectal cancer
Traditional miles operation
Ultralow
Preserving anus
Curative effect
