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[目的]对比分析直肠癌超低位吻合与低位吻合术的优劣,为临床直肠癌患者选择适宜的手术方式提供参考。[方法]选取某院2005年12月～2006年12月收治的下段直肠癌患者60例作为研究对象,分为观察组和对照组,观察组患者采用低位吻合术式,对照组采用超低位术式,比较两组患者术后排便功能、5年生存率及复发率,对比分析两种术式的优劣。[结果]经观察,两组患者手术后3个月排便功能比较,观察组排便功能优良率较对照组具有明显优势(P﹤0.05);两组患者的5年生存期及复发率比较,差异无统计学意义(P﹥0.05)。[结论]超低位吻合术与低位吻合术比较,术后短期的排便功能有明显差异,但两种术式的5年生存期及复发率无统计学差异,且超低位术式保留了患者肛门,提高了患者生活质量,值得低位直肠癌患者临床选用。
[Objective] To compare and analyze the advantages and disadvantages of ultra-low anastomosis and low anastomosis in rectal cancer, and provide a reference for the selection of appropriate surgical methods in patients with rectal cancer. [Methods] Choose 60 patients with lower rectal cancer who were treated in a hospital from December 2005 to December 2006 as research object and divided into observation group and control group. The patients in observation group were treated with low anastomosis, The postoperative defecation function, 5-year survival rate and recurrence rate were compared between the two groups. The advantages and disadvantages of the two surgical procedures were compared. [Results] After observing the defecation function of the two groups at 3 months after operation, the excellent and good rate of defecation in the observation group was significantly better than that of the control group (P <0.05). The 5-year survival rate and recurrence rate of the two groups were significantly different No statistical significance (P> 0.05). [Conclusion] The ultra-low anastomosis compared with low anastomosis, postoperative short-term defecation function was significantly different, but the two operations of 5-year survival and recurrence rate was no significant difference, and ultra-low surgical patients retained the anus , Improve the quality of life of patients, it is worth low rectal cancer patients clinical selection.