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目的探讨治疗超低位直肠癌采用直肠拖出并单吻合器进行保肛术的可行性以及疗效。方法选择2008年2月—2011年12月收治的超低位直肠癌患者38例为研究对象,回顾性分析患者的临床资料。结果患者术后排便功能恢复良好,患者术后1年Ⅰ级(68.42%),Ⅱ级(31.58%),无大便失禁;患者在术后均未发生严重的并发症,吻合口狭窄7.89%,吻合口瘘18.42%;术后局部复发7.89%。随访期间无一例死亡。结论超低位直肠癌患者临床治疗采用保肛术,直肠拖出并单吻合器术进行一期手术,可行性高,疗效显著,安全性高,是一种理想的手术方式,值得临床应用。
Objective To investigate the feasibility and curative effect of anal sphincter preservation in the treatment of ultra-low rectal cancer with rectal pull-out and single stapler. Methods Thirty-eight patients with ultra-low rectal cancer admitted from February 2008 to December 2011 were selected as the research object, and the clinical data of the patients were retrospectively analyzed. Results The postoperative defecation function recovered well. The patients were grade Ⅰ (68.42%), grade Ⅱ (31.58%) and no incontinence one year after operation. No serious complications occurred in the patients after operation. The anastomotic stenosis was 7.89% Anastomotic fistula 18.42%; local recurrence 7.89%. No one died during follow-up. Conclusion The clinical treatment of patients with ultra-low rectal cancer using anal sphincter repair, rectal pull out and single stapling surgery for a operation, high feasibility, significant effect, high safety, is an ideal surgical approach, it is worth clinical application.