论文部分内容阅读
目的探讨经肛门直结肠外翻拉出保留肛门吻合术治疗低位直肠癌的临床效果及应用价值。方法以2009年1月～2011年12月期间收治的36例低位直肠癌患者为研究对象,对其临床资料进行回顾性分析,观察手术成功率、术后并发症发生率,随访五年,观察复发率及5年生存率。结果 36例患者的手术均获成功,术后患者按照肛门节制大便功能评价,优20例,良14例,差2例,优良率为94.44%,无吻合漏、大便失禁等并发症发生,5年内复发4例,复发率为11.11%,5年观察期结束,生存28例,生存率为77.78%。结论经肛门直结肠外翻拉出保留肛门吻合术可有效治疗低位直肠癌,患者术后大部分控便能力良好,生活质量得到提高,并且复发率较低,五年生存率较高,具有较高的临床应用价值,可推广应用。
Objective To investigate the clinical effect and application value of anal anastomosis for anastomosis of low rectal cancer after anal anastomosis. Methods Thirty-six patients with low rectal cancer admitted from January 2009 to December 2011 were studied retrospectively. The clinical success rate, postoperative complication rate and follow-up were observed. Recurrence rate and 5-year survival rate. Results Thirty-six patients were successful in operation. According to the anorectal stool function evaluation, the results were excellent in 20 cases, good in 14 cases and poor in 2 cases. The excellent and good rate was 94.44%. No complications such as anastomotic leakage and fecal incontinence occurred. 5 4 cases of recurrence during the year, the recurrence rate was 11.11%, 5-year observation period ended, 28 cases of survival, the survival rate was 77.78%. Conclusions Anorectal anastomosis can be effectively treated with anorectal anastomosis. The majority of postoperative patients have good controllability and quality of life, and the recurrence rate is low, and the five-year survival rate is higher than that of patients with lower rectal cancer High clinical value, can be extended.