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目的通过直肠癌肿瘤特异系膜切除术(TSME)与直肠癌全系膜切除术(TME)临床效果的比较,探讨TSME的应用价值。方法 DukesA、B、C期中低位直肠癌患者80例分为TSME组(42例)和TME组(38例),比较两组患者术后的复发率、存活率、吻合口瘘及直肠系膜内淋巴结清除情况,评价TSME的效果。结果 TSME组与TME组在手术后复发率、存活率、直肠系膜内淋巴结清除情况方面的比较,差异无统计学意义(P>0.05);TSME组吻合口瘘发生率明显低于TME组,差异具有统计学意义(P<0.05)。结论 TSME能够保证直肠癌手术根治性,与TME手术比较,TSME手术能够减少并发症,值得临床推广应用。
Objective To investigate the clinical value of TSME by comparing the clinical results of TSME with total mesorectal excision (TME) in rectal cancer. Methods 80 patients with low and middle rectal cancer in Dukes A, B, C stage were divided into TSME group (42 cases) and TME group (38 cases). The recurrence rate, survival rate, anastomotic fistula and mesorectal lymph node Clear the situation, evaluate the effect of TSME. Results There was no significant difference in the recurrence rate, survival rate and clearance of mesorectal lymph nodes between TSME group and TME group (P> 0.05). The incidence of anastomotic fistula in TSME group was significantly lower than that in TME group Statistically significant (P <0.05). Conclusion TSME can guarantee the radical operation of rectal cancer. Compared with TME, TSME can reduce complications and is worthy of clinical application.