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目的探讨全直肠系膜切除联合弧形吻合器治疗低位直肠癌的临床疗效。方法选取2012年4月—2014年7月瑞金市人民医院收治的低位直肠癌患者84例,随机分为研究组与对照组,各42例。对照组患者予以常规Miles手术治疗,研究组患者予以全直肠系膜切除联合弧形吻合器治疗。观察两组患者肛门功能、治疗前后生活质量评分及并发症发生情况。结果研究组患者肛门功能优良率高于对照组,差异有统计学意义(P<0.05);治疗前两组患者社会功能、躯体疼痛、生理功能、活力情况、精神状态、情感活动、总体健康评分比较,差异无统计学意义(P>0.05),治疗后研究组患者社会功能、躯体疼痛、生理功能、活力情况、精神状态、情感活动、总体健康评分高于对照组,差异有统计学意义(P<0.05);两组患者并发症发生率比较,差异无统计学意义(P>0.05)。结论全直肠系膜切除联合弧形吻合器治疗低位直肠癌的临床疗效显著,可提高患者肛门功能,改善患者的生活质量。
Objective To investigate the clinical effect of total mesorectal excision combined with arc stapler in the treatment of low rectal cancer. Methods From April 2012 to July 2014, 84 patients with low rectal cancer admitted to Ruijin People’s Hospital were randomly divided into study group and control group, with 42 cases in each group. Patients in the control group were treated with conventional Miles operation, and patients in the study group were treated with total mesorectal excision and arc stapler. Anal function in two groups was observed, before and after treatment quality of life scores and complications. Results The anal function rate in study group was higher than that in control group (P <0.05). Before treatment, social function, physical pain, physiological function, vitality, mental status, emotional activity, overall health score (P> 0.05). After treatment, the social function, body pain, physiological function, vitality, mental status, emotional activity and overall health score of the study group were significantly higher than those of the control group (P> 0.05) P <0.05). There was no significant difference in complication rates between the two groups (P> 0.05). Conclusion The total mesorectal excision combined with arc stapler for the treatment of low rectal cancer has significant clinical effect, which can improve anal function and improve the quality of life of patients.