论文部分内容阅读
目的:探讨低位保肛手术治疗直肠癌的临床疗效。方法:回顾性分析我院2012年6月~2013年7月期间收治的98例行手术治疗低位直肠癌的病患资料,并分析保肛手术治疗低位直肠癌的临床效果。所有的病患均采用吻合器行肠吻合。结果:术后患者出现局部复发10例,局部复发率为10.2%。其中1个月内复发1例,1~2个月内复发2例,2~3个月内复发6例。术后3个月内存活84例,存活率为85.7%。术后发生吻合口瘘1例,吻合口狭窄2例,均经肠道造瘘术治疗后痊愈。结论:低位直肠癌行保肛手术可以明显的提高患者生存质量,保肛手术可以作为手术治疗低位直肠癌的首选术式。
Objective: To investigate the clinical effect of preserving the lower anus in rectal cancer. Methods: A retrospective analysis of 98 cases of surgical treatment of low rectal cancer in our hospital from June 2012 to July 2013 was performed. The clinical data of anal sphincter preservation surgery for low rectal cancer were analyzed. All patients were anastomosed with intestinal anastomosis. Results: There were 10 cases of local recurrence after operation, the local recurrence rate was 10.2%. Among them, 1 case recurred in 1 month, 2 cases recurred in 1 ~ 2 months and 6 cases recurred in 2 ~ 3 months. 84 cases survived within 3 months after operation, the survival rate was 85.7%. Anastomotic fistula occurred in 1 case, anastomotic stenosis in 2 cases, were cured after intestinal fistulation. Conclusion: Anorectal surgery with low rectal cancer can significantly improve the quality of life of patients, and anal sphincter preserving surgery can be used as the first choice for surgical treatment of low rectal cancer.