超低位直肠癌经括约肌间切除术后的肛门功能评价  

Anal sphincter function assessment of intersphincteric resection for very low rectal cancer

作　　者：丛进春[1] 戴显伟[1] 张宏[1] 陈春生[1] 

机构地区：[1]中国医科大学附属盛京医院肛肠外科,辽宁沈阳110004

出　　处：《中国现代医学杂志》2008年第6期795-798,共4页China Journal of Modern Medicine

基　　金：辽宁省教育厅高等学校科学技术研究项目资助(编号:05L484)

摘　　要：目的分别应用问卷调查和直肠肛管向量测压技术来评价超低位直肠癌经括约肌间切除术后的肛门功能。方法对25例经括约肌间切除术后的患者进行Vaizey和Wexner评分以及直肠肛管向量测压,分别选择同期25例直肠癌低位前切除术及25例肛门功能正常的患者作为对照研究。结果经括约肌间切除术后的Vaizey和Wexner评分在术后1个月均高于低位前切除术,但在术后1年差异却没有显著性,而两者直肠肛管向量测压的结果在术后1年却仍有差异。与正常对照组差异一直有显著性。结论经括约肌间切除术的肛门功能短期内不如低位前切除术,虽然长期的结果可以接受,但仍达不到正常水平。[Objective]To assess the anal sphincter function after intersphincteric resection by questionnaire and vectorial manometry. [Methods] 25 patients underwent intersphincteric resection, 25 low anterior resection for rectal cancer and 25 healthy people were selected as controls. The therapeutic responses were evaluated using the Vaizey and Wexner scoring systems and vectorial manometry. [Results] The Vaizey and Wexner scores after intersphincterlc resection were significantly higher than those of low anterior resection controls one month after operation ,but had no significant difference one year after. On other hand, the indexes of vectorial manometry still had significant difference one year later. The indexes of intersphinctefic resection could not constantly reach the normal level. [Conclusions] The anal sphincter function of intersphincteric resection is lower than low anterior resection in short term, although the long-term results can be accepted, but it still cannot achieve the normal.

关 键 词：超低位直肠癌 经括约肌间切除术 肛门功能 

分 类 号：R657.1[医药卫生—外科学] R735.37[医药卫生—临床医学]