摘要
目的探讨超低位直肠癌保肛手术的临床疗效。方法回顾性分析我院2003年9月至2009年9月86例超低位直肠癌保肛手术的临床资料,对手术方法、术后并发症、术后肛门功能恢复情况等进行评价。结果 86例保肛手术均成功完成,术后吻合口漏2例,吻合口狭窄3例,术后1年控便能力均达优良级,随访时间为12~84个月,平均42个月,1例患者出现局部复发,1例患者出现肝转移。结论超低位直肠癌保肛手术避免了永久性的造口,患者生活质量得到明显改善,根治性高,安全性好,并发症低,值得推广。
Objective To explore the curative effect of anus-preserving operation on ultra low rectal carcinoma.Methods The clinical data of 86 patients with ultra low rectal carcinoma who underwent anus-preserving operation in our hospital during September 2003 to September 2009 were analyzed retrospectively.Results The operation went successfully in all cases.Two cases of stomal leak and three cases of stomal stenosis were observed postoperatively.Anal function of all patients went good in one year after treatment.One local relapse and one hepatic metastasis were observed during a follow-up period of 12~84 months,42 months in average.Conclusion Anus-preserving operation can avoid permanent stoma and improve life quality for patients with ultra low rectal carcinoma.It is safe and effective,therefore worth promoting in clinics.
出处
《局解手术学杂志》
2011年第1期30-31,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
直肠癌
超低位
保肛手术
rectal carcinoma
ultra low rectal cancer
anus-preserving operation
