中低位直肠癌行全直肠系膜切除保肛治疗临床分析  

Clinical Analysis of Total Mesorectal Excision on the Patients with Mid or Low Rectal Carcinoma

作　　者：孟凡亭[1] 

机构地区：[1]山东医学高等专科学校外科学教研室,山东临沂276000

出　　处：《社区医学杂志》2015年第16期18-19,共2页Journal Of Community Medicine

摘　　要：目的探讨中低位直肠癌全直肠系膜切除行保肛手术的临床效果。方法观察组67例行全直肠系膜切除术、对照组50例采用传统手术方法治疗,对两组患者的手术时间、术中出血量,术后吻合口瘘、局部复发及生存率进行比较分析。结果两组比较术后吻合口漏发生率无显著差异(P>0.05),而手术时间、术中出血量、术后1年复发率和5年生存率方面观察组明显优于对照组(P<0.05)。结论全直肠系膜切除治疗中低位直肠癌,手术时间短,术中出血量少,可有效降低术后肿瘤复发率,提高患者生存率。Objective To discuss the clinical effect of total mesorectal excision（ TME） in the treatment of mid or low rectal carcinoma. Methods 67 cases of patients in the observation group were performed with TME,50 cases in the control group with the traditional surgical treatment,comparative analysis of two groups with operative time,intraoperative blood loss,postoperative anastomotic leakage,local recurrence and survival rate. Results The two groups in anastomotic leakage difference was not statistically significant（ P〈0. 05）. The observation group in operative time,intraoperative blood loss,the recurrence rate within 1 year and survival rate within 5 years was significantly better than the control group,the difference between two groups were statistically significant（ P〈0. 05）. Conclusions The TME in the treatment of mid or low rectal carcinoma can effectively shorten the operation time,reduce the amount of Intraoperative bleeding,decrease the tumor recurrent rate and Improve the survival rate.

关 键 词：直肠肿瘤 全直肠系膜切除术 保肛手术 

分 类 号：R735.37[医药卫生—肿瘤]