40例中下段直肠癌行直肠全系膜切除术(TME)的临床观察

Effece of TME operation in treatment of 40 cases of rectal cancer

目的:回顾性分析比较传统术式与TME在直肠癌术后对局部复发、排尿功能和性功能的影响。方法:2005-2009年我院40例行TME治疗中下段直肠癌,其中男性16例,女性24例,同期观察40例行传统术式治疗中下段直肠癌,跟踪随访3年,局部复发以CT和肠镜结果为准,排尿功能以拔尿管时间和尿残留为指标,性功能以问卷形式进行调查。结果:病人术后随诊3年,局部复发率为5.0%,3年生存率92.5%,排尿障碍17.5%,勃起障碍25%。结论:TME治疗中下段直肠癌对降低局部复发,减少对排尿功能和性功能影响明显优于传统术式。

Objective：To evaluate the role of TME on the sexual function and urinary dysfunction of rectal cancer.Methods：Clinical data of 40 patients with rectal cancer who underwent operation of TME were reviewed.Results：All the operations were performed successfully.The local recurrence rate was 5.0%,3-year survival rate 92.5%,rates of urinary and sexual dysfunction of man were 17.5% and 25%.Conclusion：TME operation has better effect than old operation in low locally recurrent rectal cancer for urinary dysfunction and sexual function.