直肠癌手术治疗56例疗效分析

Curative effect analysis of rectal cancer operative treatment in 56 cases

目的:探讨低位直肠癌保肛手术治疗的临床疗效。方法:收治直肠癌患者56例,采用低位前切除术13例,拖出式吻合术14例,局部切除手术16例,经括约肌间切除术13例。结果:本组患者无死亡病例发生,术后发生吻合口瘘4例,吻合口狭窄4例。肛门功能评价:术后1个月优29例,良13例,差14例;术后6个月优47例,良15例,差4例;术后12个月优54例,良1例,差1例;术后12个月肛门功能优良率98.2%。结论:低位直肠癌保肛手术治疗直肠癌肛门功能优良率高,并发症少。

Objective:To investigate the clinical curative effect of low rectal cancer guarantees anus operation treatment in rectal cancer.Methods:56 patients with rectal cancer were selected.13 cases were given low anterior resection,14 cases were given drag type anastomosis,16 cases were given local excision surgery,13 cases were given intersphincteric resection.Results:No deaths occurred in this group of patients.4 cases occurred anastomotic fistula after operation,4 cases occurred anastomotic stenosis.The anal function evaluation:1 month after operation,29 cases were excellent,13 cases were good,14 cases were poor;6 months after operation,47 cases were excellent,15 cases were good,4 cases were poor;12 months after operation,54 cases were excellent,1 case was good,1 case was poor,the excellent and good rate of postoperative 12 months anal function was 98.2%.Conclusion:Low rectal cancer guarantees anus operation treatment in rectal cancer has the high excellent and good rate of anal function and less complications.