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目的探讨全直肠系膜切除联合双吻合器保肛治疗对低位直肠癌患者血白蛋白和生存质量的影响。方法 68例低位直肠癌患者随机分为两组,观察组34例,对照组34例,对照组采用常规Mi-1es手术治疗,观察组采用全直肠系膜切除联合双吻合器保肛治疗。术后常规进行化疗。治疗结束后评价患者的血白蛋白和生存质量。结果两组手术后患者的生活质量均比术前有所提高,并且观察组比对照组提高更明显(P<0.05)。两组治疗后患者的血白蛋白均有提高,并且与对照组治疗后比较,观察组提高更明显,两组比较有显著性差异(P<0.05)。结论采用全直肠系膜切除联合双吻合器保肛治疗可以明显提高低位直肠癌患者的血白蛋白和生存质量。
Objective To investigate the effect of total mesorectal excision combined with double stapler anal sphincter preservation on serum albumin and quality of life in patients with low rectal cancer. Methods Sixty-eight patients with low rectal cancer were randomly divided into two groups: 34 cases in the observation group and 34 cases in the control group. The control group was treated by conventional Mi-1es operation. The observation group was treated by total mesorectal excision combined with double stapler. After conventional chemotherapy. Patients were evaluated for serum albumin and quality of life after treatment. Results The quality of life of patients in both groups after surgery was significantly higher than that before operation, and the observation group was more obvious than the control group (P <0.05). After treatment, the serum albumin in both groups increased, and compared with the control group after treatment, the observation group increased more obviously, with significant difference between the two groups (P <0.05). Conclusion Anorectal surgery with total mesorectal excision combined with double stapler can significantly improve serum albumin and quality of life in patients with low rectal cancer.