论文部分内容阅读
目的:探讨低位直肠癌柱状经腹会阴切除术(柱状APR)与传统Mile’s手术的局部复发情况。方法:对我院2009年10月—2011年12月的14例低位直肠癌行柱状经腹会阴切除术及2010年4月—2012年1月的34例低位直肠癌行传统Mile’s手术,进行标本环周切缘(circumferential resection margin,CRM)阳性率比较,并随访两年,对局部复发的病例进行比较。结果:柱状APR可切除更多远端直肠周围组织,标本切缘阳性率及2年后局部复发均明显低于对照组(P<0.01)。结论:柱状APR可切除更多低位直肠癌瘤周围组织,使局部复发率明显减少,值得推广。
Objective: To investigate the local recurrence of postoperative peritoneal peritonectomy (columnar APR) and conventional Mile’s surgery in low rectal cancer. Methods: From October 2009 to December 2011 in our hospital, 14 cases of low rectal cancer underwent columnar transabdominal perineal resection and 34 cases of low rectal cancer from April 2010 to January 2012 underwent conventional Mile’s operation. Specimens The circumferential resection margin (CRM) positive rates were compared and followed up for two years to compare the local recurrences. Results: The columnar APR could excise more surrounding tissues of the distal rectum. The positive rate of the resected margin and the local recurrence after 2 years were significantly lower than those of the control group (P <0.01). Conclusion: The columnar APR can excise more surrounding tissue of low rectal cancer and reduce the local recurrence rate. It is worth popularizing.