70岁以上低位直肠癌保肛手术的应用研究  

The utilization of anus-protective operation for the aged patients with low rectal carcinoma

作　　者：余东升[1] 周建农[1] 许发培[1] 

机构地区：[1]江苏省肿瘤医院普外科,江苏南京210009

出　　处：《中国肿瘤外科杂志》2011年第6期332-334,共3页Chinese Journal of Surgical Oncology

摘　　要：目的探讨保肛术式在高龄低位直肠癌患者中应用的可行性和安全性。方法总结98例肿瘤距肛缘3～7 cm的高龄低位直肠癌手术治疗患者的临床资料,其中保肛手术42例(Dixon术35例,Parks术3例,经肛局部扩大切除4例),行Miles术56例,对两组患者的术后局部复发率及存活率进行比较。结果保肛术局部复发率为16.7%,3年和5年存活率分别为64.3%和52.4%;而Miles术的局部复发率和3、5年存活率则分别为16.1%、67.9%、51.8%,两组差异均无统计学意义(P>0.05)。结论只要掌握好高龄低位直肠癌保肛术的适应证,也可获得较满意的术后存活率,并提高患者生活质量,而局部复发率并不增高。Objective To explore the utilization of anus-protective operations for the aged patients with low rectal carcinoma. Methods The clinical data of 98 cases with low rectal carcinoma whose affected rectum was 3-7cm from the edge of anus were collected. Among them 42 cases were treated with anus-protective operations （35 cases were treated with Dixon operation, 3 cases treated with Parks operation and 4 cases treated with the anusl operation）. The local recurrence rate and survival rate of the above operations were compared with those of the Miles operation for 56 patients with rectal carcinoma. Results The local recurrence rate of anus-protective operation and 3-year, 5-year survival rates were 16.7%, 64.3% and 52.4% respectively, those of Miles operations were 16.1%, 67.9% and 51.8% respectively （ P 〉 0.05 ）. Conclusions Anus-protective operation provides effective treatment for low rectal carcinoma with a satisfactory long term survival rate and quality of life. The local recunence rate don＇t increase.

关 键 词：低位直肠癌 高龄患者 保肛术 存活率 生活质量 

分 类 号：R735.37[医药卫生—肿瘤]