直肠癌保肛术后低位前切除综合征研究进展

Low Anterior Resection Syndrome of Rectal Cancer Patients after Anus-Preserving Surgery

随着医学技术的日益发达,越来越多的低位直肠癌患者能在肿瘤根治的前提下进行保肛手术,但术后近70%~90%的患者会出现不同程度的低位前切除综合征,主要表现为便频、便急、排便不尽感甚至大便失禁等,严重影响患者的日常生活。如何降低低位前切除综合征的发生并减轻其症状,并对其进行科学评估是临床上的重要课题。因此,本文对直肠癌患者保肛术后低位前切除综合征的影响因素、评估工具及干预措施进行综述,以期为相关研究及临床实践提供参考。

With the development of medical technologies,more and more patients with low rectal cancer can undergo anus preservation surgery under the premise of radical tumor resection.But nearly 70%-90% of patients will have different degrees of low anterior resection syndrome(LARS)after surgery,mainly manifested as frequent bowel movements,quick bowel movements,sensation of incomplete evacuation and even fecal incontinence,which seriously affects patients'daily life.How to alleviate LARS and evaluate it scientifically is an important clinical topic.Therefore,this paper reviews the influencing factors,evaluation means and intervention measures of LARS after anus preservation in rectal cancer patients,in order to provide evidence for related research andclinicalpractice.