影响直肠癌全直肠系膜切除术预后因素

Affecting factors of prognosis for total mesorectal excision of the rectal cancer

目的:探讨影响直肠癌全直肠系膜切除术预后的主要因素。方法:选取2000年7月至2002年6月间的102例行直肠癌全直肠系膜切除术的病人作为研究对象,回顾性分析病人临床资料。结果:102例行直肠癌全直肠系膜切除术的病例,失访4例,失访率为3.9%,现存活96例,10例术后复发和转移,复发率为10.2%,91例术后性生活无显著障碍,99例泌尿功能基本正常。结果表明影响直肠癌全直肠系膜切除术预后存在因素。结论:直肠癌全直肠系膜切除术可以减少术后复发和转移,减少患者术后泌尿和性功能方面的并发症,可提高病人生活质量的保证。

Objective：To determine the important factors of affecting the prognosis for total mesorectal excision in rectal cancer. Methods： The treatment and follow-up were retrospectively analyzed to 102 cases with rectal cancer treated by the total mesorectal excision, hospitalized from July 2000 to June 2002 in NanFang Hospital. Results： Of 102 cases, Dixon operation were performed in 75 cases, Miles operation in 27 cases. 4 cases were lost track and loss rate was 3.9%. Survival 96 cases, recrudescence and diversion in 10cases, recrudescence rate was 10.2%.91 cases were normal in sexual function and 99 cases were normal in urinary function. The results expressed that many factors affected the prognosis for total mesorectal excision of rectal cancer. Conclusion： Total mesorectal excision of rectal cancer is an important treatment to reduce recrudescence and metastasis postoperatively. It is the best route of treating rectal cancer. The postoperative quality of life of the patients with rectal cancer relies on the selection of adequate surgical procedures very much.