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目的分析直肠全系膜切除(TME)联合双吻合器治疗中低位直肠癌的疗效。方法将160例中低位直肠癌患者随机分为对照组和观察组,每组80例,对照组采用TME术联合结肠造瘘治疗,观察组采用TME术联合双吻合器治疗。比较两组观察指标,记录并发症发生率和局部复发率。结果两组患者手术时间、术中出血量、肠道功能恢复正常时间和住院天数等比较差异未见统计学意义(P>0.05)。术后随访6~30个月,两组并发症发生率和局部复发率比较差异未见统计学意义(P>0.05)。结论 TME术联合双吻合器治疗中低位直肠癌能达到TME的治疗原则,能与造瘘取得一样的肿瘤根治性效果。
Objective To analyze the effect of total mesorectal excision (TME) combined with double stapler in the treatment of middle and low rectal cancer. Methods 160 cases of low and middle rectal cancer patients were randomly divided into control group and observation group, 80 cases in each group. The control group was treated by TME combined with colostomy. The observation group was treated by TME combined with double stapler. The two groups were compared, and the complication rate and local recurrence rate were recorded. Results There was no significant difference in operative time, intraoperative blood loss, intestinal function recovery time and hospitalization days between the two groups (P> 0.05). Postoperative follow-up 6 to 30 months, the incidence of complications and local recurrence rate was no significant difference between the two groups (P> 0.05). Conclusion TME combined with double staplers in the treatment of low and middle rectal cancer can achieve the principle of TME treatment, and can obtain the same tumor curative effect of radical tumor.