论文部分内容阅读
目的探讨术前新辅助放疗联合腹腔镜根治直肠癌手术效果。方法选取2009年6月至2012年6月我院收治的直肠癌患者96例进行回顾性分析,36例实行术前新辅助放疗联合腹腔镜根治手术作为A组,28例未放疗实行腹腔镜根治手术作为B组,32例未放疗实行开腹手术作为C组,观察三组的治疗效果。结果 A组直肠癌手术切除率和保肛率明显高于B组和C组(P<0.05),A组直肠癌手术局部复发率、远处转移率和并发症发生率明显低于B组和C组(P<0.05)。结论术前新辅助放疗联合腹腔镜根治直肠癌手术效果显著,具有良好的根治率和保肛率,并发症和复发率较低,是一种科学有效的治疗方法,值得临床推广。
Objective To investigate the effect of preoperative neoadjuvant radiotherapy combined with laparoscopy in the treatment of rectal cancer. Methods A total of 96 patients with rectal cancer admitted to our hospital from June 2009 to June 2012 were retrospectively analyzed. Thirty-six patients underwent neoadjuvant radiotherapy combined with laparoscopic radical mastectomy as group A. 28 patients underwent radiotherapy without laparoscopy As a group B, 32 cases underwent open surgery without radiotherapy as group C. The therapeutic effects of the three groups were observed. Results The resection rate and anus preservation rate of rectal cancer in group A were significantly higher than those in group B and C (P <0.05). The recurrence rate, distant metastasis rate and complication rate of rectal cancer in group A were significantly lower than those in group B and C group (P <0.05). Conclusion Preoperative neoadjuvant radiotherapy combined with laparoscopic radical resection of rectal cancer surgery has a significant effect, with good cure rate and anal sphincter rate, complications and recurrence rate is low, is a scientific and effective treatment, is worth clinical promotion.