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目的:探讨2种不同术式治疗低位直肠癌的临床效果。方法:将我院低位直肠癌患者60例随机分为观察组和对照组,对照组均接受传统Miles手术治疗,观察组接受保肛手术治疗,评估2组治疗效果。结果:观察组手术时间、术中出血量及日排便次数明显低于对照组,2组分别比较差异具有统计学意义(P<0.05)。观察组患者吻合口瘘、肛门狭窄发生率明显低于对照组,2组分别比较差异具有统计学意义(P<0.05)。观察组患者局部复发率及死亡率与对照组比较差异无统计学意义(P>0.05)。结论:保肛手术治疗低位直肠癌效果确切,能显著改善患者生活质量,值得应用。
Objective: To investigate the clinical effects of two kinds of surgical procedures in the treatment of low rectal cancer. Methods: Sixty patients with low rectal cancer in our hospital were randomly divided into observation group and control group. The control group received traditional Miles operation. The observation group received conservative surgery and the two groups were evaluated. Results: The operation time, intraoperative blood loss and defecation frequency in the observation group were significantly lower than those in the control group. The differences between the two groups were statistically significant (P <0.05). The incidence of anastomotic fistula and anal stenosis in the observation group was significantly lower than that in the control group, and the differences between the two groups were statistically significant (P <0.05). There was no significant difference in the local recurrence rate and mortality between the observation group and the control group (P> 0.05). Conclusion: Anal sphincter preservation surgery is effective in treating low rectal cancer, which can significantly improve the quality of life of patients and is worthy of application.