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目的探讨在超低位直肠癌保肛术中实施经双吻合器直肠拖出式切除吻合的疗效。方法选择实施经双吻合器直肠拖出式切除吻合手术治疗的62例超低位直肠癌患者为研究组,选取同期经腹直肠前切除吻合术患者58例为对照组,比较两组患者的结果。结果所有患者经双吻合器直肠拖出式切除吻合全部成功,两组患者复发情况、生存情况相近,差异无统计学意义。研究组术后6个月的肛门功能明显优于对照组,两组12个月的肛门功能情况相近。结论在超低位直肠癌保肛术中,实施经双吻合器直肠拖出式切除吻合有一定优势,值得推广应用。
Objective To investigate the effect of double stapler rectal pull-out resection and anastomosis in the preservation of ultra-low rectal cancer. Methods Sixty-two patients with ultra-low rectal cancer who underwent resection and anastomosis via double stapling were selected as the study group. Fifty-eight patients undergoing anastomosectomy and anastomosis during the same period were selected as the control group. The results of the two groups were compared. Results All patients underwent double stapler resection and anastomosis of the rectum all the success, the recurrence of the two groups of patients with similar survival, the difference was not statistically significant. The anal function of the study group was significantly better than that of the control group 6 months after operation, and the anal function of the two groups was similar at 12 months. Conclusion In the treatment of rectal cancer with ultra-low rectal cancer, there is a certain advantage in the rectal ablation and anastomosis through double staplers, which is worth popularizing and applying.