经肛门局部切除手术在早期低位直肠癌治疗中的应用

Application of anal partial resection surgery in the treatment of early low rectal cancer

目的:探讨经肛门局部切除手术(TAE)治疗早期低位直肠癌的可行性。方法:收集经肛门局部切除术治疗的早期低位直肠癌患者7例的临床资料,与同期8例用传统手术治疗的患者的临床资料相比较。结果:两组患者住院时间、住院费用、围手术期并发症比较,差异均具有统计学意义(P<0.05),而经肛门局部切除手术组2年无瘤生存率66.7%,传统手术组75%,差异无统计学意义(P>0.05)。结论:早期低位直肠癌采用经肛门局部切除手术可以达到很好的疗效,且能保留肛门,并发症少。但应严格掌握适应证,慎重选择病例。

Objective:To explore the feasibility of anal partial resection surgery in the treatment of early low rectal cancer.Methods:The clinical data of 7 cases of early low rectal cancer patients with anal partial resection surgery treatment were selected.They were compared with the clinical data of 8 cases of patients with traditional operation treatment at the same time.Results:Thehospital stays,hospitalization expenses,perioperative complications of two groups were compared,and the differences werestatistically significant(P<0.05).The 2 year disease-free survival rate of the anal partial resection surgery group was 66.7%;thetraditional operation group was 75% ;the difference was not statistically significant(P>0.05).Conclusion:The early low rectalcancer is applied anal partial resection surgery can achieve very good curative effect and can preserve the anus,and itscomplication is less.But we should strictly control the indications,carefully select the cases.