摘要
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.
出处
《青海医药杂志》
2009年第8期6-9,共4页
Qinghai Medical Journal
关键词
西宁地区
低位直肠癌
保肛手术
Xining areas
Low rectal cancer
Anal sphincter preservation