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目的:探讨中低位直肠癌保肛手术的临床效果以及其影响因素。方法:选取中低位直肠癌患者81例,随机分为两组,其中对照组38例采取双吻合器吻合术,观察组43例采取双荷包端端吻合术。对两组患者吻合口漏、直肠阴道瘘发生率进行统计;随访两年,对患者复发率和生存率进行统计。结果:观察组患者术后并发症发生率明显低于对照组,随访2年复发率明显低于对照组,生存率明显高于对照组。结论:对中低位直肠癌患者实施双荷包端端吻合保肛治疗具有良好的效果,且费用较低,在严格掌握适应症和禁忌症的前提下,可以作为常用的中低位直肠癌保肛治疗手术。
Objective: To investigate the clinical effect and its influencing factors of anal sphincter preservation in low and middle rectal cancer. Methods: Totally 81 low and middle rectal cancer patients were selected and randomly divided into two groups. 38 cases in the control group received double stapling anastomosis and 43 cases in the observation group received double-pouch end-to-end anastomosis. The incidence of anastomotic leakage and rectovaginal fistula in both groups were statistically analyzed. The patients were followed up for two years, and the recurrence rate and survival rate were calculated. Results: The incidence of postoperative complications in the observation group was significantly lower than that in the control group. The recurrence rate at 2 years follow-up was significantly lower than that in the control group, and the survival rate was significantly higher than that in the control group. CONCLUSIONS: It has good effect and low cost to treat double-package end-to-end anal sphincter preservation in patients with low or middle rectal cancer. Under strict control of indications and contraindications, it can be used as anal sphincter preserving treatment for low and middle rectal cancer surgery.