论文部分内容阅读
目的:比较低位直肠癌几种术式的复发率及5年生存率的差异,探讨术式的选择。方法:收集我院2001~2008年收治268例低位直肠癌病例资料,按局部切除,TME+DIXON、TME+MILES分成三组,对术后复发率及5年生存率进行回顾分析。结果:局部切除组12例,2年局部复发2例,复发率16.7%,TME+DIXON组192例,总保肛率84.4%,2年复发45例,复发率16.7%,5年生存率61.3%,TME+MILES术64例,2年复发11例,复发率17.2%,5年生存率59.6%,三组病例2年复发率相近,统计学数据显示无显著性差异(P>0.05)。结论:对低位直肠癌,可根据病灶大小,病理学类型,Dukes分期等把握术式选择的适应症:保肛术式为首选,Miles术为最后的选择。
OBJECTIVE: To compare the recurrence rates and 5-year survival rates of several types of lower rectal cancer and to explore the choice of surgical procedures. Methods: A total of 268 cases of low rectal cancer treated in our hospital from 2001 to 2008 were collected and divided into three groups according to partial excision, TME + DIXON and TME + MILES. The recurrence rate and 5-year survival rate were retrospectively analyzed. Results: There were 12 cases in local excision group, 2 cases local recurrence in 2 years, the recurrence rate was 16.7%, 192 cases in TME + DIXON group, the total anal anus rate was 84.4%, 2 years recurrence in 45 cases, the recurrence rate was 16.7% and the 5-year survival rate was 61.3% There were 64 cases with TME + MILES, 11 cases with 2 years recurrence, 17.2% recurrence and 5 years survival rate of 59.6%. There was no significant difference between the two groups (P> 0.05). Conclusion: For low rectal cancer, according to the size of the lesion, pathological type, Dukes stage, etc. to grasp the indications of surgical options: anal sphincter as the first choice, Miles surgery for the final choice.