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[目的]探讨低位直肠癌保肛手术的临床治疗效果。[方法]选择某院2009年3月～2010年9月期间收治的低位直肠癌患者86例,随机将患者分为研究组和对照组,每组43例。两组患者经相关检查后,研究组患者行直肠癌前侧切除手术方案,而对照组患者则行腹会阴联合切除手术方案,并对两组患者的临床治疗效果等相关指标进行比较分析。[结果]与对照组患者相比,研究组患者的手术时间明显缩短,仅为162.45min;日排便次数明显减少,仅为3.23次;并发症发生率明显降低,仅为6.98%,差别均具有统计学意义(P﹤0.05);与此同时,研究组患者局部复发率明显降低,仅为6.98%;而5年生存率则明显提高,高达88.37%,差别均具有统计学意义(P﹤0.05)。[结论]低位直肠癌保肛手术疗效确切,效果显著,是低位直肠癌患者较为理想的治疗方法,值得进一步的临床推广和应用。
[Objective] To investigate the clinical effect of anal sphincter preservation in low rectal cancer. [Methods] A total of 86 patients with low rectal cancer admitted to our hospital from March 2009 to September 2010 were randomly divided into study group and control group, with 43 cases in each group. Two groups of patients after the relevant examination, the study group patients underwent resection of the anterior resection of colorectal cancer surgery program, while the control group patients underwent abdominal perineal resection combined with surgical treatment of the two groups of patients and other related indicators for comparative analysis. [Results] Compared with the control group, the operation time of the study group was significantly shortened, only 162.45 minutes; the number of defecation decreased significantly, only 3.23 times; the incidence of complications was significantly reduced, only 6.98%, the difference was (P <0.05). In the meantime, the local recurrence rate of study group was significantly lower (6.98%), while the 5-year survival rate was significantly higher (88.37%, P <0.05) ). [Conclusion] Anorectal surgery for low rectal cancer is effective and effective, and is an ideal treatment for patients with low rectal cancer. It is worth further clinical promotion and application.