低位直肠癌保肛手术43例临床疗效观察  

Observation on the Therapeutic Results of Anus-preserving ＆ Low Rectectomy.Report of 43 Cases

作　　者：李东冰[1] 李权[1] 蔡亭[1] 张丽[1] 周海祥[1] 谭敬范[2] 

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]北京市二龙路医院

出　　处：《中国肛肠病杂志》2006年第10期12-13,共2页Chinese Journal of Coloproctology

摘　　要：为了观察低位直肠癌保肛手术效果，回顾性总结43例低位直肠癌实施保肛手术的疗效。43例中，癌下缘在肛缘上4．5～6．0cm,其中2例4．5cm。DukesB期32例，C期11例。肿瘤占据肠腔1／4～3／4，均无远处转移。43例均采用Dixon手术，均使用结扎束、闭合器或荷包缝合钳及吻合器，术后发生吻合口漏1例，未发生大出血。随访3年复发6例，2年复发1例。结果表明，低位直肠癌采用保肛手术是可行的，但应严格掌握适应症。The therapeutic effect of low proctectomy and anus-preserving surgical procedure in the treatment of 43 patients with low rectal carcinoma was analized retrospectively. All the carcinomata were located 4.5-6.0 cm above the anal margin,in which 4.5 cm in 2 cases;carcinomata in Dukes B stage were found in 32 cases,in Dukes C stage in 11 cases,and the 1/4-3/4 of the rectal cavity was occupied by carcinoma in most of the 43 cases,while no distant metastasis was noted. Dixon operation was adopted with ligature bundle, closure instrument, purse-string forceps and stapler. Anastomotic leakage was found in 1 case postoperatively and no massive hemorrhage occurred. Recurrence occurred in one case two years after operation and in six cases three years after operation. It is suggested that anus-preserving procedure is feasible in surgical treatment of low rectal carcinoma, while indications should be strictly held.

关 键 词：直肠癌 结直肠外科手术 疗效 

分 类 号：R735.37[医药卫生—肿瘤]