保肛手术治疗低位直肠癌46例临床分析  

Sphincter-preserving Surgery for Low Rectal Cancer：Clinical Analysis of 46 Cases

作　　者：钟英才[1] 胡伟文[1] 周飞渡[1] 陈星明[1] 

机构地区：[1]湖南省浏阳市人民医院肛肠科,湖南浏阳410300

出　　处：《中国肛肠病杂志》2013年第9期14-16,共3页Chinese Journal of Coloproctology

摘　　要：为观察保肛手术治疗低位直肠癌的疗效及患者术后生活质量，回顾性分析行保肛手术与传统Miles术治疗的低位直肠癌患者的临床资料，其中行保肛手术46例（保肛组），行传统Miles术14例（Miles组），观察两组患者平均手术时间、术中出血量等指标；术后随访36个月，观察患者术后生存率、复发率和生活质量评分。结果显示，两组患者在平均手术时间、术中出血量、术后复发率和生存率等方面差异无统计学意义（P〉0．05），但保肛组在生活质量方面显著高于Miles组（P〈0．05）。结果表明，在严格掌握手术适应症的前提下，治疗低位直肠癌行保肛手术可行。Abstract This study was to observe the clinical efficacy of sphincter-preserving surgery for patients with low rectal cancer and their postoperative quality of life,a retrospective study was carried out on the data of low rectal cancer treated with sphincter-preserving surgery and Miles surgery. There were 46 cases （sphincter-preserving group ）undergoing sphincter-preserving surgery and 14 cases（Miles group） receiving conventional Mile＇s procedure. Both groups were observed for average operation duration and intraoperative bleeding volume and so on. After operation a 36 month follow-up was done for survival rate, relapse rate and scores of quality of life in both groups The results showed between both groups there was no signifi- cant difference in average operation duration, intraoperative bleeding volume, survival rate and relapse rate（ P 〉0.05）, however, sphincter-preserving surgery was superior to Miles surgery in improving the quality of life for patients（ P 〈0.05）. It is concluded that sphincter-preserving surgery for low rectal cancer is feasi- ble,but with strict control of surgical indications.

关 键 词：直肠癌 手术 保肛术 

分 类 号：R735.37[医药卫生—肿瘤]