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目的探讨腹腔镜低位直肠癌根治套入式吻合保肛术的临床应用,分析其治疗效果。方法选取灵山县中医医院收治的160例低位直肠癌患者,均接受根治套入式吻合保肛术。对比治疗前后排便功能的变化。进行随访,统计术后复发与转移情况,观察存活率。结果术后半年,患者的排便功能较治疗之前,出现显著改善,比较差异P<0.05。术后出现4例吻合口狭窄与3例吻合口瘘,并发症比例为4.4%。随访年限为0.5～5年,共123例存活,存活率为76.9%。7例局部复发,5例肺转移,19例肝转移。结论针对低位直肠癌,应用腹腔镜套入式吻合保肛术,能够显著改善患者的排便功能,提升生活质量,控制吻合口狭窄与吻合口瘘等并发症的出现率,有着良好的临床效果,适于得到更多的推广与应用。
Objective To investigate the clinical application of laparoscopic radical rectal nested anastomosis and anal sphincter preservation and analyze its therapeutic effect. Methods Totally 160 low rectal cancer patients admitted to Lingshan Chinese Medicine Hospital were enrolled in this study. Compare the changes of defecation function before and after treatment. Follow-up, statistics of postoperative recurrence and metastasis, survival rate was observed. Results Six months after operation, the defecation function of patients showed significant improvement compared with that before treatment, with a difference of P <0.05. There were 4 cases of anastomotic stenosis and 3 cases of anastomotic leakage after operation, the complication rate was 4.4%. The follow-up period was 0.5 to 5 years, a total of 123 cases survived, the survival rate was 76.9%. 7 cases of local recurrence, 5 cases of lung metastases, 19 cases of liver metastases. Conclusion For low rectal cancer, laparoscopic anastomosis with anal sphincter can significantly improve the patient’s defecation function, improve quality of life, control the incidence of anastomotic stenosis and anastomotic leakage and other complications, has a good clinical effect, Suitable for getting more promotion and application.