摘要
直肠癌是常见的消化道恶性肿瘤,在我国,低位直肠癌比例高。手术是治疗直肠癌的最主要方法,能在治愈疾病的基础上尽可能保留肛管直肠功能是医患双方的共同目标。但对于保肛手术,有较多学者认为,保肛手术治疗达不到根治要求,且术后局部复发率较高。而随着医学技术的不断发展,尤其是腹腔镜技术以及内镜技术的发展,各种保肛手术得以广泛开展,目前,国内外已经有大量资料证明,对符合指征患者实施保肛手术预后良好,对提高低位直肠癌患者生存质量具有重要意义。该文将对低位直肠癌的保肛手术理念以及临床技术进行分析和综述,以此为临床治疗低位直肠癌提供依据。
Rectal cancer is a common malignant tumor of the digestive tract.In China,the proportion of low rectal cancer is high.Surgery is the most important method for the treatment of rectal cancer.It is a common goal of both doctors and patients to preserve the anorectal function as much as possible on the basis of curing the disease.However,for anal sphincter preservation,many scholars believe that the anal sphincter surgery does not meet the radical treatment requirements,and the local recurrence rate is higher.With the continuous development of medical technology,especially the development of laparoscopic techniques and endoscopic techniques,various anal sphincter preservation operations have been widely carried out.At present,there were a large number of data at home and abroad to prove the prognosis of anal sphincter preservation for patients with indications,which is of great significance to improve the quality of life of patients with low rectal cancer.This article will analyze and review the anal sphincter preservation concept and clinical technology of low rectal cancer,in order to provide a basis for clinical treatment of low rectal cancer.
作者
王运成
WANG Yun-cheng(Baise City People's Hospital,Second Division,Baise,Guangxi,533000 China)
出处
《中外医疗》
2019年第6期195-198,共4页
China & Foreign Medical Treatment
关键词
低位直肠癌
保肛手术
手术理念
临床技术
研究
现状
Low rectal cancer
Anal sphincter surgery
Surgical concept
Clinical technology
Research
Current situation