摘要
目的观察ELAPE术式治疗直肠癌的应用效果。方法将50例低位直肠癌患者随机分为两组,分别采取ELAPE和传统APR手术方式,对两组患者的平均手术时间、术中穿孔率、CRM阳性率以及术后1年局部复发率情况进行比较。结果 ELAPE组平均手术时间要长于APR组(P<0.05)。ELAPE组患者术中穿孔率和术后CRM阳性率明显低于APR组(P<0.05)。ELAPE组患者术后会阴部感染、尿潴留等并发症的发生率及术后1年局部复发率与APR组比较无明显的差异(P>0.05)。结论 ELAPE手术方式是APR术式的提升,可明显减少CRM阳性率以及术中穿孔率,手术的并发症无明显增多。
Objective To observe the application effect of ELAPE in the treatment of rectal cancer. Methods A total of 50 patients with low rectal cancer were randomly divided into two groups. ELAPE and traditional APR were used to compare the average operation time, intraoperative perforation rate, CRM positive rate and postoperative 1-year local recurrence rate between the two groups. Results The mean operative time of ELAPE group was longer than that of APR group （P〈0.05）. The intraoperative perforation rate and postoperative CRM positive rate in ELAPE group were signifi- cantly lower than those in APR group（P〈0.05）. There was no significant difference in the incidence of complications such as postoperative perineal infection, urinary retention and postoperative 1-year local recurrence rate between the ELAPE group and the APR group （P〉0.05）. Conclusion ELAPE surgical approach, which is an improvement of APR operation, can significantly reduce the positive rate of CRM and intraoperative perforation rate, and the complications of ELAPE surgery has no significant increase.
出处
《中国现代医生》
2017年第19期57-59,共3页
China Modern Doctor
