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目的:探讨低位直肠癌保肛综合治疗方法,减少局部并发症,提高生存质量.方法:采用外照射、腔内微波加温、近距离后装治疗及肛管施用器屏蔽的应用,综合治疗低位直肠癌28例.结果;本组28例3年随访观察期间,仅2例局部复发,3例远处转移,3年生存率和无瘤生存分别为85.7%(24/28例)和82.1%(23/28例).结论:低位直肠癌的保肛治疗,可通过综合治疗,单项减量、降低局部并发症和复发率,从而提高病人的生存质量.
OBJECTIVE: To investigate the comprehensive treatment of anus-preserving low rectal cancer, reduce the local complications and improve the quality of life. Methods: Application of external irradiation, intracavity microwave heating, brachytherapy and anal canal applicator, comprehensive treatment of low position 28 cases of rectal cancer. Results; 28 cases of this group of patients during the 3-year follow-up period, only 2 cases of local recurrence, 3 cases of distant metastasis, 3-year survival rate and disease-free survival were 85.7% (24/28 cases) and 82.1% (23/28 cases). Conclusion: Anus-preserving treatment for low rectal cancer may improve patient’s quality of life through comprehensive treatment, single reduction, reduction of local complications and recurrence rate.