保留肛门括约肌手术治疗低位直肠癌

THE USE OF SPHINCTER-SAVING RESECTION IN THE TREATMENT OF CARCINOMA OF LOWER RECTUM

本文对应用保留肛门括约肌手术治疗低位直肠癌６４例作回顾性分析。５年生存率８１．２５％，局部复发率８．６２％。讨论了手术方法的依据，手术适应证和术后并发症的防治。结果表明，对适当选择的低位直肠癌病例．保留肛门括约肌手术的生存率和病人生活质量都是令人满意的。

The effect of 64 cases of lower rectal carcinoma treated with sphincter-saving resection(SSR)was retrospectively analyzed.The 5-year survival rate was 81.25%,The local reccurrence was 8.62%.The bases of the SSR and the indicntions for selecting the operative procedures and the prevention and treat-ment of the postoperative complications were discussed.The results showed that in properly selected cases,the outcome was satisfactory in SSR either in the survival or in quality of life.