低位直肠癌保肛根治术对低位直肠癌的临床治疗效果分析  

Analysis of the clinical effect of anus-preserving radical mastectomy for low rectal cancer

作　　者：韩兵[1] HAN Bing(Central Hospital of Sujiatun District,Shenyang 110101,China)

机构地区：[1]辽宁省沈阳市苏家屯区中心医院,110101

出　　处：《中国现代药物应用》2022年第3期47-49,共3页Chinese Journal of Modern Drug Application

摘　　要：目的研讨对低位直肠癌患者实施低位直肠癌保肛根治术治疗的临床价值。方法90例低位直肠癌患者,随机分为对照组及观察组,每组45例。对照组应用腹会阴联合直肠癌根治术治疗,观察组应用低位直肠癌保肛根治术治疗。比较两组患者围术期指标、术后生活质量以及并发症发生率。结果两组患者手术时间对比差异无统计学意义(P>0.05);观察组患者术中出血量(130.23±10.23)ml少于对照组的(200.23±15.23)ml,术后排气时间(2.03±0.23)d、住院时间(11.23±1.23)d短于对照组的(3.64±1.23)、(15.23±4.23)d,日排便次数(5.23±1.00)次多于对照组的(2.03±0.56)次,差异有统计学意义(P<0.05)。观察组患者生理机能、情感职能、社会功能、躯体疼痛、精神健康、精力、生理职能、总体健康评分高于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率4.4%低于对照组的17.8%,差异有统计学意义(P<0.05)。结论对低位直肠癌患者实施低位直肠癌保肛根治术,可提高治疗效果并降低患者术后并发症发生率,提升生活质量进而促使其尽快康复。Objective To discuss the clinical value of anus-preserving radical mastectomy for low rectal cancer.Methods A total of 90 patients with low rectal cancer were randomly divided into control group and observation group,with 45 cases in each group.The control group was treated with abdominal perineum combined with radical resection of rectal cancer,and the observation group was treated with anus-preserving radical mastectomy.The perioperative indicators,postoperative quality of life and complication rates were compared between the two groups.Results There was no statistically significant difference in the operation time between the two groups(P>0.05).The intraoperative blood loss(130.23±10.23)ml of the observation group was less than(200.23±15.23)ml of the control group;the postoperative exhaust time(2.03±0.23)d and hospitalization time(11.23±1.23)d of the observation group were shorter than(3.64±1.23),(15.23±4.23)d of the control group;the daily defecation frequency(5.23±1.00)times of the observation group were more than(2.03±0.56)times of the control group;all the differences were statistically significant(P<0.05).The physical function,emotional function,social function,somatic pain,mental health,energy,physical function,and overall health scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).The postoperative complication rate 4.4%in the observation group was lower than 17.8%in the control group,and the difference was statistically significant(P<0.05).Conclusion The implementation of anus-preserving radical mastectomy for low rectal cancer patients can improve the therapeutic effect and reduce the postoperative complication rates,improve the quality of life and promote their recovery as soon as possible.

关 键 词：低位直肠癌 低位直肠癌保肛根治术 腹会阴联合直肠癌根治术 并发症发生率 

分 类 号：R735.37[医药卫生—肿瘤]