直肠癌低位吻合手术方式评价  

Evaluation on the Therapeutic Effect of Anastomotic Procedures for Low Rectal Carcinoma

作　　者：高明[1] 李传祖[1] 张峻[1] 韩方海[2] 伍晓汀[2] 

机构地区：[1]山东省青岛市立医院普外科,山东青岛266001 [2]四川大学华西医院普外科

出　　处：《中国肛肠病杂志》2005年第10期26-28,共3页Chinese Journal of Coloproctology

摘　　要：为评价低位直肠癌保肛手术方法对生活质量的影响，回顾分析1993～1997年经双吻合器（DST）和支撑捆扎法（SBP）低位直肠癌保肛吻合术124例临床资料。5年生存率与局部复发率：DST为77．4％（41／53）与9．4％（5／53）；SBP为75．8%（47／62）与6．5％（4／62）。低位直肠癌保肛手术后排尿、排便及性功能障碍总发生率分别为32．2％，8．7％和50．4％，DST为35．9％（19／53），9．4％（5／53）和52．8％（28／53），SBP为29．0％（18／26），8．1％（5／62）和48．4％（30／62）。低位直肠癌保肛手术中，在不影响5年生存率的情况下，SBP对术后生存质量影响低于DST，但无显著性差异。The objective of the study is to evaluate the influence of anus-preserved procedures on life quality in surgical treatment of low rectal carcinoma. The clinical data of 124 cases （1993-1997） with low rectal carcinoma who underwent double stapling technique（DST） or support binding procedure（SBP） were retrospectively analized. As results, the 5-year survival rate and local recurrence rate respectively were 77.4% （41/53） ＆ 9.4%（5/53） in DST group,and 75.8%（47/62） ＆6.5%（4/62） in SBP group;the postoperative general occurrence rate of dysuria, dysporia and sexual disorder was respectively 32.2%, 8. 7% and 50.4%,of which that in the DST group was 35.9%（19/53）,9.4%（5/53） and 52.8%（28/53）while that in the SBP group was 29.0%（18/26）,8. 1%（5/62）and 48. 4%（30/62）. In comparison with DST and SBP in the anus-preserved treatment for low rectal carcinoma, the 5-year survival rate was similar in the two groups,while the survival quality was better in SBP group than in DSTgroup,but there was no notable difference.

关 键 词：直肠癌 低位吻合手术 生存质量 性功能障碍 支撑捆扎法 双吻合器 

分 类 号：R735.37[医药卫生—肿瘤] R730.56[医药卫生—临床医学]