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目的:探讨保肛手术对低位直肠癌患者的疗效、生活质量及肛门功能恢复的效果。方法:选择2008年3月~2015年3月我院接诊的100例低位直肠癌患者,通过随机数表法分为观察组和对照组,各50例。对照组行常规Miles法,观察组行保肛手术。比较两组患者手术效果。结果:观察组在手术时间比对照组短,术中出血量少于对照组,排便功能恢复时间比对照组短;观察组术后并发症总发生率低于对照组;在术后1月、半年,两组患者各项生活质量指标均得到改善,但观察组结果均比对照组高;通过随访1年,观察组转移、复发率低于对照组,生存率高于对照组。结论:在低位直肠癌患者中实施保肛手术效果显著,术后排便功能恢复快,并可提高生活质量,有利于长期预后,值得应用推广。
Objective: To investigate the effect of anal sphincter preservation surgery on low rectal cancer patients, quality of life and anal function recovery. Methods: From March 2008 to March 2015, 100 cases of low rectal cancer admitted to our hospital were selected and randomly divided into observation group and control group with 50 cases in each group. Control group conventional Miles method, the observation group line anal sphincter preservation surgery. The surgical results of two groups were compared. Results: In the observation group, the operation time was shorter than that of the control group, the intraoperative blood loss was less than that of the control group, and the defecation function recovery time was shorter than that of the control group. The incidence of postoperative complications in the observation group was lower than that of the control group. Six months, all the quality of life indicators of both groups were improved, but the observation group results were higher than the control group; by follow-up of 1 year, the observation group metastasis, the recurrence rate was lower than the control group, the survival rate was higher than the control group. Conclusions: The effect of anal sphincter preservation in patients with low rectal cancer is significant. The postoperative defecation recovery quickly and quality of life improve, which is good for long-term prognosis. It is worthy to be popularized.