论文部分内容阅读
目的探讨中低位直肠癌全直肠系膜切除行保肛手术的临床效果。方法观察组67例行全直肠系膜切除术、对照组50例采用传统手术方法治疗,对两组患者的手术时间、术中出血量,术后吻合口瘘、局部复发及生存率进行比较分析。结果两组比较术后吻合口漏发生率无显著差异(P>0.05),而手术时间、术中出血量、术后1年复发率和5年生存率方面观察组明显优于对照组(P<0.05)。结论全直肠系膜切除治疗中低位直肠癌,手术时间短,术中出血量少,可有效降低术后肿瘤复发率,提高患者生存率。
Objective To investigate the clinical effect of anorectal surgery in the treatment of middle and low rectal cancer with total mesorectal excision. Methods Total mesorectal excision was performed in 67 cases in observation group and 50 cases in control group were treated by traditional surgical methods. The operation time, intraoperative blood loss, anastomotic fistula, local recurrence and survival rate were compared between the two groups. Results There was no significant difference in the incidence of anastomotic leakage between the two groups (P> 0.05), while the observation group was significantly better than the control group in operation time, intraoperative blood loss, postoperative 1 year recurrence rate and 5-year survival rate <0.05). Conclusion Total mesorectal excision for the treatment of low-grade rectal cancer, short operative time, less blood loss, which can effectively reduce the recurrence rate of postoperative tumor and improve patient survival rate.