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目的:探讨低位直肠癌保肛手术的临床应用价值。方法:回顾分析了79例低位直肠癌行Dixon保肛手术的临床疗效。结果:在79例保肛手术中,术后发生伤口感染3例,吻合口瘘2例,无肛门狭窄及肛门失禁。术后随访10个月至5年,平均随访3年2个月,发现保肛手术组与miles手术组之间的生存率无明显差异。结论:低位直肠癌保肛手术疗效肯定,根据直肠肿瘤临床分期和肿瘤生物学行为选择手术适应证。
Objective: To investigate the clinical value of anal sphincter preservation in low rectal cancer. Methods: A retrospective analysis of 79 cases of low rectal cancer Dixon anal sphincter preservation surgery. Results: In 79 cases of anal sphincter preservation surgery, wound infection occurred in 3 cases and anastomotic fistula in 2 cases without any anal stenosis and anus incontinence. The patients were followed up for 10 months to 5 years. The patients were followed up for an average of 3 years and 2 months. There was no significant difference in the survival rate between the anal sphincter preservation group and the miles operation group. Conclusion: The effect of anal sphincter preservation surgery in low rectal cancer is certain. The surgical indications are selected according to the clinical stage and tumor biological behavior of rectal cancer.