63例低位直肠癌粘膜剥除拖出式随访与分析

Demucosation and Extraction of Low-Position Rectal Cancer:Follow Up Survey and Analysis of 63Cases

目的:探讨低位直肠癌行粘膜剥除拖出术式可行性疗效。方法:对1993～1999年63例行粘膜剥除拖出术式患者进行随防、分析。结果:5年生存率52.9%,局部复发11.0%,具有良好节制排便功能44.3%,较好节制34.2%;79.3%患者可分辨出粪便或气体。结论:严格掌握其适应证,操作要求对低位直肠癌可获得较高的5年生存率和提高生活质量。

Objective:To study the feasibility and efficacy of low-position rectal cancer by demucosation and extractive operation.Methods:Follow up survey of63patients with low-po-sition rectal cancer treated with demucosation and extraction in the period of1993to1999was conducted and analysed.Results:The5-year survival rate was52.9%,local recurrence11%,and44.3%of the patients had a good control of defecation(34.2%had a better control and79.3%of patients could distinguish feces and gas).Conclusion:With good indication and regu-lation of operation,higher percentage of5-year survival rate and fine life quality of patients can be obtained.