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目的分析低位直肠癌保肛手术中直肠冲洗治疗对预后的影响。方法 72例低位直肠癌保肛手术患者根据是否直肠冲洗分为观察组36例(术中直肠冲洗)和对照组36例(术中未接受直肠冲洗),对比两组患者预后情况。结果两组患者近期疗效、1年生存率相比差异无统计学意义(P>0.05);观察组局部复发率显著低于对照组,3、5年生存率显著高于对照组,差异具有统计学意义(P<0.05),癌细胞检出率86.1%。结论低位直肠癌保肛手术中直肠冲洗,使患者预后质量显著提高,降低复发率。
Objective To analyze the effect of rectal irrigation on the prognosis of low rectal cancer during anorectal surgery. Methods Seventy - two patients with rectal cancer undergoing anal sphincter preservation surgery were divided into observation group (36 cases) and control group (36 cases). The prognosis of the two groups was compared. Results There was no significant difference in short-term curative effect and 1-year survival between the two groups (P> 0.05). The local recurrence rate in the observation group was significantly lower than that in the control group, and the 3 and 5-year survival rates were significantly higher than those in the control group Significance (P <0.05), cancer detection rate of 86.1%. Conclusions Rectal irrigation in rectal anorectal surgery with low anorectal cancer significantly improves the quality of prognosis and reduces the recurrence rate.