Dixon与Miles直肠癌根治术后局部复发率的比较  

Comparison of local recurrence of rectal cancer after two radical operations

作　　者：顾劲松[1] 于海滨[1] 赵明友[1] 

机构地区：[1]鞍山钢铁集团公司曙光医院外科,辽宁鞍山114033

出　　处：《局解手术学杂志》2005年第6期364-365,共2页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的比较保肛与非保肛两种直肠癌根治术应用全直肠系膜切除(total mesorectal excision,TME)术后的局部复发率(local recurrence rate,LRR),为临床直肠癌根治术提供参考依据。方法回顾性分析直肠癌患者术后的局部复发率,将101例直肠癌患者分2组:Dixon组53例,Miles组48例,按Heald法行TME。结果Dixon组与Miles组的LRR分别为:7.5%与18.8%(P<0.05),1997年以前Miles组的LRR为31.6%,1997年以后Miles组的LRR为10.3%(P<0.05);Dixon组的LRR为7.5%,与前者比较相差非常显著(P<0.01),与后者比较无显著性差异(P>0.05)。结论TME是降低Dixon、Miles直肠癌根治术后LRR的重要因素。Objective To compare the difference in local recurrence for the rectal cencer in patients Dixon and Miles groups after total mesorectal excision. Methods One hundred and one rectal cancer patients were divided into two groups, Dixon group of 53 patients, Miles group of 48 patients. Total mesorectal excision was performed according to Heald＇s method. Results The local recurrence in the Dixon and Miles groups was 7.5 % （4/53） and 18.8%（9/48） respectively （P〈0.05）, and that in the Miles group before and after 1997 was 31.6 % （6/19） and 10.3 %（3/29） respectively （P 〈 0.05）. Conclusion Total mesorectal excision plays an important role in reducing local recurrence after radical operation for rectal cancer.

关 键 词：直肠癌根治术 肠系膜 肿瘤复发 

分 类 号：R683.2[医药卫生—骨科学]