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直肠癌腹会阴联合切除术(Miles术)的手术彻底性,已为众所公认。根据国内六个省市医院的统计,其五年生存率达到51.89％～65.15％。但不可否认该手术虽然重视了彻底性,却忽视了直肠肛门的排便问题。据我院15年来临床随访统计,有100例病人因不愿接受腹部人工肛门而自动出院,经随访随诊除个别病例再接受手术外,93例未接受手术者均相继死亡。其平均生存期仅为14个月。这一数字足以说明在重视直肠癌手术彻底性的同时,改进手术方式以期尽可能保留排便功能也相当重要。
The thoroughness of rectal cancer with perineal resection (Miles surgery) has been widely recognized. According to the statistics of hospitals in six provinces and cities in China, its five-year survival rate reached 51.89% to 65.15%. However, it is undeniable that although the emphasis on thoroughness of the surgery, it ignores the bowel problem of the rectum and anus. According to the clinical follow-up statistics of our hospital for 15 years, 100 patients were automatically discharged because they were reluctant to receive an artificial anal anus. After follow-up followed by individual cases and then received surgery, 93 patients who had not received surgery had died. Its average survival period is only 14 months. This figure is enough to show that while paying attention to the thoroughness of rectal cancer surgery, it is also very important to improve the surgical method in order to retain the defecation function as far as possible.