摘要
随着医学理论和科学技术的进步,更多的直肠癌患者有机会保留肛门而提高术后生活质量。但是,高达90%以上的患者术后可能出现不同程度的结直肠功能紊乱,主要表现为便频、便急及排便障碍等一系列临床症状,因其在低位前切除患者中发生率更高,症状更严重,这些临床症状被称为低位前切除综合征(LARS)。因对于保肛手术的认识不足,时至今日对于LARS的研究仍处于起步阶段。该综述主要对LARS的诊断、发生机制及治疗的研究开展讨论。
As the development of medical theory and scientific technology, more rectal cancer patients have the chances to retain their anus, which greatly enhance their life quality after anal sphincter preserving surgery. However, more than 90% of these patients may have different levels of bowel dysfunctions, which mainly displays a series of clinical symptoms, such as increased bowel frequency, faecal incontinence or evacuatory dysfunction, etc. These symptoms are known as low anterior resection syndrome (LARS) which has higher incidence rate and more severe symptoms in patients undergoing lower anterior resection surgery. Researches in LARS is still in early stage because of insufficient understanding of anal sphincter preserving surgery. This review is focusing on the development of diagnosis, mechanism and treatment for LARS.
出处
《中国医学工程》
2017年第12期22-25,共4页
China Medical Engineering
关键词
直肠肿瘤
低位前切除综合征
结直肠功能紊乱
诊断
治疗
rectal neoplasm
low anterior resection syndrome
bowel dysfunction
diagnosis
treatment