西宁地区低位直肠癌保肛术52例分析

The Analysis of 52 Cases of the Anal Sphincter Preservation for Low Rectal Cancer in Xining Areas

目的:探讨西宁地区开展低位直肠癌保肛术的可行性。方法:分析并比较2005年10月—2008年10月开展低位直肠癌行TME(全直肠系膜切除)+PARE术式(J型储袋)+侧方淋巴结清扫保肛术52例与直肠癌行Miles术71例的临床资料。结果:两组术后并发症无差别(P>0.05),平均住院时间低位直肠癌保肛术组(23.12±6.27)天与直肠癌行Miles术组(34.85±5.62)天差别显著(P<0.05),术后生存时间及生存率无显著性差别(P>0.05)。结论:掌握好手术适应证,注意围手术期处理,西宁地区开展低位直肠癌行TME(全直肠系膜切除)+PARE术式(J型储袋)+侧方淋巴结清扫保肛术是安全、可行的。

Objective： To understand the possibility of the anal sphincter preservation for low rectal cancer patients in Xining areas.Methods： The data from 123 cases of low rectal cancer,which had experienced surgery through Oct.2005 and Oct.2008 were compared between the treatment group（52 cases underwent total mesoretal excisionon＋PARE＋paralymphectomy） and the control group（71 cases underwent single Miles surgery）.Results： Although there was no significant differences on the complications,survival time and survival rate after operation （P 〉0.05 ）, the average hospitalizing days in the treatment group （23.12±6.27）days was significantly shorter than that in the control group （34.85±5.62）days（P 〈0.05 ）. Conclusions： It may be safe and suitable to conduct TME ＋ PARE ＋ paralymphectomy for low rectal cancer patients in Xining areas.