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目的:探讨腹腔镜腹会阴联合切除术治疗低位直肠癌的效果。方法:总结并分析收治的35例行腹腔镜腹会阴联合切除术进行治疗的低位直肠癌患者资料,作为研究组;按性别、年龄、肿块与肛门距离、肿块直径、病变侵及肠壁的深度等条件,匹配同一时期行开腹术治疗下位直肠癌的患者35例,作为对照组。比较手术之后两组患者的肠功能恢复时间、术后并发症发生率、局部复发率、住院时间,评价两种手术方法的治疗效果。结果:两组患者在术后并发症发生率及复发转移率方面不存在显著性差异(P>0.05),研究组35位患者大多在30h之内排气,手术后2天即可起床活动,平均住院时间不超过8天,存在显著性差异(P<0.05)。结论:腹腔镜腹会阴联合切除术治疗低位直肠癌具有良好的恢复效果,在手术条件合适的情况下,应优先进行腹腔镜腹会阴联合切除术。
Objective: To investigate the effect of laparoscopic abdominal perineum combined resection on low rectal cancer. Methods: The data of 35 patients with low rectal cancer treated by laparoscopic abdominal perineum combined resection were summarized and analyzed as the study group. According to sex, age, mass and anus distance, the diameter of tumor, the depth of pathological invasion and intestinal wall And other conditions, matching the same period of open lower abdominal surgery for rectal cancer in 35 patients, as a control group. Comparing the recovery time of intestinal function, the incidence of postoperative complications, the local recurrence rate and hospital stay in both groups after operation, the therapeutic effects of the two surgical methods were evaluated. Results: There was no significant difference in the incidence of postoperative complications and recurrence and metastasis between the two groups (P> 0.05). Most of the 35 patients in the study group were exhausted within 30 hours, and were able to get up two days after surgery. The average length of hospital stay was less than 8 days, with significant difference (P <0.05). Conclusions: Laparoscopic abdominal perineum combined with resection of lower rectal cancer has a good recovery effect, under the appropriate surgical conditions, laparoscopic abdominal perineum combined resection should be prioritized.