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目的探讨低位直肠癌实施保肛手术方法和技巧。方法回顾性分析38例低位直肠癌患者行保肛根治术的临床资料。结果术后全部病例均获得随访,平均随访44个月。术后肿瘤局部复发2例,术后1个月控制排便能力明显改善,3个月排便基本正常;术后男性86.7%(17/20)保持勃起功能,女性87.5%(16/18)保持健全的性兴奋能力。所有患者术后排尿功能与术前无差别。结论低位直肠癌保肛手术,提高了患者生活质量。
Objective To investigate the methods and techniques of anus-preserving surgery in low rectal cancer. Methods Retrospective analysis of 38 cases of low rectal cancer patients underwent anal preservation of the clinical data. Results All cases were followed up for an average of 44 months. Postoperative tumor local recurrence in 2 cases, 1 month after surgery to control defecation improved significantly, 3 months of defecation was normal; postoperative male 86.7% (17/20) to maintain erectile function, female 87.5% (16/18) stay sound Sexual excitement. All patients with postoperative urinary function and no difference before surgery. Conclusion Anorectal surgery for low rectal cancer, improve the quality of life of patients.