直肠癌不同手术方式生存质量的研究现状  

Study of Patients' Quality of Life after Different Rectal Surgery Approaches

作　　者：赵蕊[1,2] 李智[1,2] 汪晓东[1,2] 李立[1,2] 

机构地区：[1]四川大学华西医院胃肠外科中心 [2]四川大学华西临床医学院MCQ团队,610041

出　　处：《天津医药》2014年第8期843-846,共4页Tianjin Medical Journal

摘　　要：手术切除是治疗直肠癌的主要手段,也是影响患者生存质量因素之一。不同的手术位置、肿瘤切除范围、手术入路、造口、腹腔镜的运用等都会影响患者短、长期的生存质量,且不同术式对患者生存质量的影响尚存争议。本文就高位和低位前切除、前切除和内括约肌切除术、经肛和开腹手术、保肛和造口手术、开腹和腹腔镜手术对直肠癌患者生存质量的影响进行综述。Surgery is the main treatment for rectal cancer, which is one of influencing factors of the patients’quality of life （QoL）. Factors affecting QoL in a operation include tumor location, surgical margin, operation approach, appearance of stoma, application of laparoscopy and so forth. Still, now there are lots of arguments on how operations affecting QoL. The fol-lowing is a review about patients’QoL after different rectal surgeries, including high versus lower anterior resection, anterior versus inter sphincteric resection, transanal versus open operation, anal-sparing versus stoma operation, laparoscope versus open surgery.

关 键 词：直肠肿瘤 手术后并发症 生活质量 

分 类 号：R735.37[医药卫生—肿瘤]