64例低位直肠癌保肛手术治疗临床分析  

Saving anus surgery for 64 patients with lower rectal cancer

作　　者：周喜贵[1] 胡杰亮[1] 冯双成[1] 李发平[1] 张鹏[1] 

机构地区：[1]白银市第一人民医院普外科,730900

出　　处：《中国实用医药》2009年第18期46-47,共2页China Practical Medicine

摘　　要：目的总结和分析低位直肠癌保肛的局部复发和远期治疗的结果。方法对1995年12月至2002年12月在本院外科行手术治疗的低位直肠癌(肿瘤下缘距肛缘6cm)进行回顾性分析,筛选出性别、年龄、肿瘤部位、病理组织学类型和Dukes分期、术前术后治疗情况等采用卡方分割、多因素统计法分析、P<0.05,均无显著差异的64例,其中保肛手术组37例、Miles手术组27例。结果保肛手术组2年局部复发5例(13.5%)、5年生存率20例(54%);Miles手术组2年局部复发3例(11%)、5年生存率15例(55.5%)。两组差异无统计学意义(P<0.05)。结论在严格掌握手术适应征的前提下,低位直肠癌行保肛手术可行。Objective To summary and analysis local recurrence and long-term treatment effects of saving surgery for lower rectal cancer . Methods Retrospective analysis of clinical feature in 64 patients with lower rectal cancer（the lower edge of the tumor from the anal margin of 6 cm） was carried out. For the 64 patients, there was no significant difference（P 〈0. 05） in gender, age, tumor site, pathological type and Dukes phases,treatment states before and after operation , et al, when Chi-square partition and multi-factor statistical analysis were used. 37 eases were in Saving anus surgery group, while 27 cases in Miles operation group. Resuits 2-year local recurrence and 5-year survival rate of the Saving anus surgery groupwas 13.5% （ 5 eases） and 54% （20 cases） respectively. 2-year local recurrence and 5-year survival rate of Miles surgery group was 11% （3 cases） and 55.5% （15 eases） respectively. There was no significant differences between the two groups （ P 〈 0. 05 ）. Conclusions Saving anus surgery for patient with lower rectal cancer is feasible ff the operation indication were strictly grasped.

关 键 词：低位直肠癌 手术 保肛 

分 类 号：R735.37[医药卫生—肿瘤] R473.73[医药卫生—临床医学]