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目的探究保肛手术对直肠癌患者的临床治疗效果和日常生活影响,完善院内对低位直肠癌的治疗对策。方法 78例低位直肠癌患者,随机分为治疗组(保留肛门括约肌手术)和对照组(DIXON术),每组39例。对比两组患者术后排便时间、生活质量及吻合口感染、盆腔感染、局部复发情况。结果治疗组术后排便时间、生活质量、吻合口感染、盆腔感染及局部复发情况均明显优于对照组,差异具有统计学意义(P<0.05)。结论保肛手术是低位直肠癌治疗的常规手段,但在选择手术方式时要依据患者的体质和病情确定手术适应证,而能够保留肛门括约肌功能的保肛手术则能够提高患者术后生活质量,值得临床推广。
Objective To investigate the effect of anal sphincter preservation surgery on the clinical effect and daily life in patients with rectal cancer and to improve the treatment of low rectal cancer in hospital. Methods 78 patients with low rectal cancer were randomly divided into treatment group (anal sphincter preservation surgery) and control group (DIXON surgery), 39 cases in each group. The postoperative defecation time, quality of life and anastomotic infection, pelvic infection and local recurrence were compared between the two groups. Results The postoperative defecation time, quality of life, anastomotic infection, pelvic infection and local recurrence in the treatment group were significantly better than those in the control group. The difference was statistically significant (P <0.05). Conclusion Anus - preserving surgery is a common treatment for low rectal cancer. However, surgical indications should be determined according to the patient ’s physique and condition when choosing surgical approach. Anus - preserving surgery, which can retain anal sphincter function, can improve postoperative quality of life, Worth clinical promotion.