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目的探讨低位直肠癌行保肛手术的手术原则、手术方法及其疗效分析。方法回顾性分析我院2005年～2011年收治的68例低位直肠癌患者行保肛手术的临床病例资料。结果术后出现吻合口瘘5例(7.3%,5/68);吻合口狭窄2例(2.9%,2/68);术后出现盆腔神经功能紊乱3例(4.4%,3/68);肛门功能障碍8例(11.7%8/68);无手术死亡病例,术后5年生存率67.5%。结论对于低位直肠癌患者,严格掌握适应证,选用保肛手术在保证了手术疗效的同时改善了患者的生存质量。
Objective To investigate the operative principle, operative method and effect analysis of sphincter preserving surgery in low rectal cancer. Methods The clinical data of 68 cases of rectal cancer treated in our hospital from 2005 to 2011 were analyzed retrospectively. Results There were 5 cases (7.3%, 5/68) of anastomotic fistula and 2 cases of anastomotic stenosis (2.9%, 2/68). Postoperative pelvic nerve dysfunction was found in 3 cases (4.4%, 3/68). Anus dysfunction in 8 cases (11.7% 8/68); no surgical deaths, 5-year survival rate of 67.5%. Conclusion For patients with low rectal cancer, strict indications, choose anal sphincter preserving surgery in ensuring the efficacy of the same time improve the quality of life of patients.