直肠癌全直肠系膜切除术42例临床体会  

Clinical Effect of Total Mesorectal Excision in the Treatment of Rectal Carcinoma： Analysis of 42 Cases

作　　者：赵晓中[1] 刘洪洲[1] 张惠广 

机构地区：[1]长治医学院附属和平医院肛肠外科,山西长治046000 [2]长治市第二人民医院消化科

出　　处：《中国肛肠病杂志》2005年第12期15-16,共2页Chinese Journal of Coloproctology

摘　　要：为探讨直肠癌患者行全直肠系膜切除术（TME）的临床疗效，对采用TME方法行根治性切除术的42例直肠癌患者临床资料进行回顾性分析。42例均获根治性切除，其中31例行Dixon手术吻合器吻合，11例行Miles手术。术后发生吻合口漏1例，行结肠造口术；2例Dixon手术后1年复发，行Miles手术根治，未复发。术后根据病情开展辅助化疗及放疗，其余近期随访无局部复发病例。结果表明，直肠癌根治性手术中采用TME手术方法是降低直肠癌术后局部复发，提高生活质量的有效措施。In order to study the therapeutic effect of total mesorectal excision in the treatment of rectal carcinoma, 42 such cases undergone TME were retrospectively analized. During surgical treatment, radical excision was done in all the 42 cases, of which Dixon operation stapler anastomosis was performed in 31 cases, and Miles operation was performed in the rest 11 cases. As results of TME treatment, postoperative anastomotie leakage occurred in 1 case who then underwent colostomy; recurrence l year after Dixon surgical treatment was noticed in 2 cases, who then received Miles radical treatment （no recurrence occurred later on）; postoperative chemotherapy ＆ radiotherapy were added accordingly, and no local recurrence was found in short-term follow-up. It is suggested that TME is an effective surgical procedure, in terms of lowering local recurrence ＆ raising life quality, in the treatment of rectal carcinoma.

关 键 词：直肠肿瘤 全直肠系膜切除术 疗效 

分 类 号：R735.37[医药卫生—肿瘤] R681.53[医药卫生—临床医学]