低前切除术与腹会阴联合切除术治疗中低位直肠癌疗效分析  

Therapeutic effects of low anterior resection and abdominoperineal resection on middle or lower rectal cancer

作　　者：汪建平[1] 詹文华[1] 王磊[1] 黄奕华[1] 覃建章[1] 董文广[1] 

机构地区：[1]中山医科大学附属第一医院胃肠胰外科,广州510080

出　　处：《中华外科杂志》2001年第6期429-432,共4页Chinese Journal of Surgery

基　　金：广东省科委攻关项目基金 (19970 73 )

摘　　要：目的　探讨低前切除术 (LAR)与腹会阴联合切除术 (APR)治疗中低位直肠癌的远期疗效 ,保肛手术治疗中低位直肠癌的原则。　方法　回顾性分析 1994年 7月～ 2 0 0 0年 12月收治 2 93例中低位直肠癌的手术方式和随访资料。　结果　中低位直肠癌的手术方式中 ,LAR组与APR组患者在性别、年龄、肿瘤大小、Dukes分期、组织学类型、分化程度、手术时间、术后并发症、局部复发率、生存率上比较均无显著性差异。LAR组肿瘤下缘到齿状线平均距离为 (5 2 9± 2 6 1)cm ,APR组为 (2 6 7±1 81)cm(P <0 0 1)。　结论　在根治性切除的前提下 ,LAR组生存率并不比APR组低。Objective To investigate the long term therapeutic effects of low anterior resection (LAR) and abdominoperineal resection (APR) on middle or lower rectal cancer. [WT5”HZ]Methods[WT5”BZ] Clinical and follow up data on 293 patients with middle or lower rectal cancer treated surgically from July 1994 to December 2000 were retrospectively analyzed. [WT5”HZ]Results[WT5”BZ] No significant difference was found in gender, age, tumor size, Duke's stage, histological type, differentiation, time of operation, postoperative complications, local recurrane rate and survival rate between the patients receiving LAR and those undergoing APR. The average distance between low verge of cancer and dentate line was 5 29±2 61 and 2 67±1 81 cm in LAR group and APR group, respectively ( P <0 01). onclusions After curative treatment, the survival rate was not lower in LAR group than in APR group. LAR is a good surgical procedure for the treatment of middle or lower rectal cancer.

关 键 词：直肠肿瘤 治疗效果 低前切除术 腹会阴联合切除术 

分 类 号：R735.37[医药卫生—肿瘤] R730.56[医药卫生—临床医学]