老年患者低位直肠癌保肛手术与Mile手术对比分析  

Anal conservative surgery for aged patients with low rectal cancer

作　　者：杨宝仁[1] 张纪伟[1] 杜鹏[1] 崔龙[1] 

机构地区：[1]上海交通大学医学院附属新华医院肛肠外科,200092

出　　处：《临床外科杂志》2010年第3期176-178,共3页Journal of Clinical Surgery

摘　　要：目的研究老年低位直肠癌患者接受保肛手术的手术根治率和术后的排便状况。方法对确诊低位直肠癌接受保肛手术（56例）和传统Mile手术（82例）的老年患者进行回顾性分析，比较术后预后和排便功能。结果接受保肛手术的患者可获得较高的根治性，术后局部复发率为19．6％，3年生存率为55．4％，均与Mile手术组患者疗效相当（P〉0．05）。接受保肛手术的患者肛门失禁发生率低，且以I度为主。结论对于老年低位直肠癌患者，行保肛手术可以获得良好的疗效，且可改善患者的生存质量。Objective To study the clinical effects of the anal conservative surgery （ACS） for the aged patients with low rectal cancer. Methods We retrospectively analyzed the recurrence incidence and function of anal defecation of 56 patients with low rectal cancer undergoing ACS and 82 patients undergoing Miles surgery. Results The patients undergoing ACS has high curative incidence but low in- cidence of incontinence. Local recurrence rate and 3 - year survival rate of these patients were 19.6% and 55.4% respectively, both of which were comparable to those of the patients undergoing Miles surgery. Few patients suffered from I° incontinence. Conclusion ACS for the aged patients of low rectal cancer is eligible and could improve their quality of life.

关 键 词：低位直肠癌 保肛手术 老年患者 排便能力 

分 类 号：R735.37[医药卫生—肿瘤]