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目的探讨低位直肠癌患者行保肛根治术的临床应用。方法对2004-03-2010-05收治的低位直肠癌行保肛根治术的32例患者进行回顾性分析。结果 32例均保肛成功。吻合漏4例,吻合口漏发生率12.5%。1例采用手术治疗,3例采用保守引流治疗均治愈。结论保肛根治术是治疗低位直肠癌的一种合理术式,但应严格掌握手术适应证,重视围手术期处理,正确的术中操作,是降低吻合口漏发生的关键。
Objective To investigate the clinical application of anal sphincter preservation in patients with low rectal cancer. Methods Retrospective analysis was performed on 32 patients undergoing anal sphincter preservation of low rectal cancer admitted from March 2004 to October 2010. Results 32 cases were successful anus. Anastomotic leakage in 4 cases, anastomotic leakage rate of 12.5%. One case was treated by surgery, and three cases were cured by conservative drainage. Conclusions Radical preservation of the anal sphincter is a reasonable technique for the treatment of low rectal cancer. However, strict indications of surgical indications, emphasis on perioperative management and proper intraoperative manipulation are the keys to reduce the occurrence of anastomotic leakage.