论文部分内容阅读
目的探讨经直肠前括约肌途径治疗早期中下段直肠癌的安全性和疗效。方法回顾性分析1999年12月至2005年1月间16例早期中下段直肠癌经直肠前括约肌途径手术切除患者的临床资料。结果本组管状腺癌8例。乳头状腺癌4例,绒毛状腺瘤癌变4例；术后无吻合口瘘及切口感染发生；术后排便、排尿功能及性功能恢复良好；随访6-66个月,均无肿瘤复发。结论对早期中下段直肠癌行经直肠前括约肌途径治疗是安全有效的。
Objective To investigate the safety and efficacy of transrectal sphincter approach in the treatment of early middle and lower rectal cancer. Methods The clinical data of 16 patients with early-middle and lower rectal cancer who underwent transrectal sphincter approach between December 1999 and January 2005 were retrospectively analyzed. Results There were 8 cases of tubular adenocarcinoma in this group. There were 4 cases of papillary adenocarcinoma and 4 cases of malignant villous adenoma. There was no postoperative anastomotic leakage and incision infection. Postoperative defecation, urinary function and sexual function recovered well. No tumor recurrence occurred in 6-66 months follow-up. Conclusion It is safe and effective for the treatment of early middle and lower rectal cancer by transrectal sphincter approach.