低位直肠癌局部切除36例临床疗效分析  

The clinical analysis of local resection for low rectal cancer

作　　者：殷东明[1] 蒋松琪[2] 

机构地区：[1]江苏省如皋市人民医院外科,226500 [2]江苏省南通市肿瘤医院,226000

出　　处：《医学信息（下旬刊）》2010年第9期57-57,共1页Medical information

摘　　要：目的：探讨低位直肠癌局部切除后的临床疗效. 方法：对1980年至2003年直肠癌局部切除36例患者的适应症和手术方式进行分析. 结果：36例中无手术死亡率.2例TAR术后发生肠道局部出血,1例TSR病人术后发生吻合口瘘,1例TSLR出现轻度排便功能障碍.6例术后平均在46（10-86）个月出现局部复发.复发率为16.6%.本组病人总5年生存率为85.7%,10年生存率为57.1%. 结论：直肠癌局部切除具有创伤小,恢复快和疗效好的特点.严格选择适应症是取得局部切除成功的保证.Objective ： To discuss the clinical effect of local resection for low rectal cancer. Methods： From 1980 to 2003 the surgical indications and methods of 36 cases with rectal cancer undergoing local resection were analyzed. Results： There was no operative death. Postoperative complications ineluded anal bleeding in 2 cases after TAR, anatomists leakage in 1 case after TSR and sphincteric dysfunction in 1 case after TSLR. Six patients recurred locally at a mean time of 46 months（ranging from 10 to 86 months） post operation, the recurrence rate was 16.6%0. Five and ten--year survival rates were 85.7% and 57.1%respectively. Conclusion： Local resection for rectal cancer has the advantages of less injury, early recovery and satisfactory effect. The key of successful operation is strictly election of indications.

关 键 词：低位直肠癌 局部切除术 

分 类 号：R735.3[医药卫生—肿瘤]