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目的:探讨采用保肛手术治疗超低位直肠癌的临床治疗效果。方法:选取168例超低位直肠癌患者,对其实施保肛手术,术后随访病人对控便能力的满意度、术后肛门功能恢复情况以及预后情况等进行分析评价。结果:手术均成功完成,对术后肛门功能恢复情况进行分析显示,三组术后1年排便反射和控便能力优良率均达到80%以上。术后3年复查时对所有病例进行问卷调查,对手术治疗效果完全满意的有120例,基本满意的有48例,没有不满意病例。结论:超低位直肠癌保肛手术可以避免造成永久性的造口,术后患者排便能力得到明显改善,提高了生活质量,基本上可以根治,并且安全性好,并发症发生率低,是临床上治疗低位直肠癌保肛手术的主要术式,值得临床推广应用。
Objective: To investigate the clinical effect of anal sphincter preservation in treating ultra-low rectal cancer. Methods: A total of 168 patients with ultra-low rectal cancer were enrolled in this study. Their anal sphincter preservation and postoperative follow-up were analyzed. The patients’ satisfaction with stool retention, anal function recovery and prognosis were analyzed and evaluated. Results: All the operations were successfully completed. Anal functional recovery after operation showed that the excellent and good rates of bowel defecation reflex and defecation in one year after operation were over 80%. All cases were surveyed after 3 years of follow-up, 120 cases were completely satisfied with the surgical treatment results, 48 cases were basically satisfied with no unsatisfactory cases. Conclusion: Anorectal surgery for ultralow rectal cancer can avoid permanent stoma, and postoperative patients have significantly improved defecation ability, improved quality of life, can be basically cured, and the safety is good, the incidence of complications is low, is a clinical On the treatment of low rectal cancer anus surgery the main surgical procedures, it is worth promoting the clinical application.