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目的 通过 2 5例中、下段直肠癌保肛术的临床追踪分析 ,探讨其手术切除保肛指征和疗效。方法 对 1991年 5月至 1994年 7月收治的 2 6 7例直肠癌中选择 2 5例中、下段直肠癌行保肛术 ,分别探讨具体操作步骤 ,术后观察排便、控便情况。结果 术后并发症的发生率为 4% ,局部复发率为 8% ,术后控便功能满意度10 0 % ,并作血清癌胚抗原值的追踪。结论 保肛术虽然能提高患者的生存质量 ,又可减少患者的心理负担 ,辅以一定的化疗效果更理想 ,但仍要慎重选择病例 ,权衡保肛的利弊
Objective To investigate the clinical indications and curative effect of anal sphincter preservation in 25 middle and lower rectal cancer patients. Methods From May 1991 to July 1994, 267 cases of rectal cancer were selected for the treatment of rectal cancer in the lower and middle stages of rectal cancer. The specific procedures were discussed and the defecation and control conditions were observed after operation. Results The incidence of postoperative complications was 4%, the local recurrence rate was 8%, postoperative bowel control satisfaction was 100%, and the value of serum carcinoembryonic antigen was tracked. Conclusion Although anal sphincter can improve the quality of life of patients, but also reduce the psychological burden of patients, supplemented by a certain degree of chemotherapy is more satisfactory, but still careful selection of patients, the advantages and disadvantages of analg