不同直肠拖出式超低位在直肠癌保肛术中的应用价值分析.pdf

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1、中国现代医生2014年8月第52卷第24期·临床探讨·不同直肠拖出式超低位在直肠癌保肛术中的应用价值分析张军祥河南省鹤壁市鹤煤总医院心胸肿瘤外科，河南鹤壁458000【摘要】目的分析不同直肠拖出式超低位在直肠癌保肛术中的应用价值。方法随机将105例确诊直肠癌患者分组，双吻合器组行双吻合器直肠拖出式，免吻合器组行免吻合器直肠拖出式手术，对比术后控便功能、肛门功能、手术并发症和肿瘤预后情况。结果免吻合器组术后3个月末控便功能优良率60．38％高于双吻合组40．38％(P<0．05)；免吻合器组术后6个月末控便功能优良率、术后复

2、发情况、生存情况和并发症发生率分别与双吻合器组比较(P>0．05)。结论免吻合器托出式超低位直肠癌保肛术在保证根治肿瘤和保留肛门功能恢复基础上，快速促进肛门功能恢复效果确切，简单实用，值得临床推广使用。f关键词1双吻合器直肠拖出式；免吻合器直肠拖出式；直肠癌保肛术；肛门功能【中图分类号】R735．37【文献标识码】B【文章编号]1673-9701(2014)24—0143-03Applicationvalueanalysisofdiferenttypesofrectaldrag-outultra-lowpositionin

3、sphincterpreservationsurgeryofrectalcancerZHANGJunxiangDepartmentofCardiothoracicTumorSurgery，HebiHemeiGeneralHospital，Hebi458000，China【Abstract】0bjectiveToanalyzetheapplicationvalueofdifferenttypesofrectaldrag—outultra—lowpositioninthesphincterpreservationsurgery

4、ofrectalcancer．MethodsAll105patientsdiagnosedwithrectalcancerwererandomlydividedintotwogroups．Thedoubleanastomatgroupreceiveddoubleanastomatretaldrag—outsurgeryandtheanas—tomat—freegroupreceivedanastomat—freerectaldrag-outsurgery．Thefecescontrolfunction，analfuncti

5、on，surgicalcomplicationsandtumorprognosisofthetwogroupswerecompared．ResultsTheexcellentandgoodrateoffecescon—trolfunctionoftheanastomat-freegroupattheendof3monthsafterthesurgerywas60．38％，whichwashigherthanthe40．38％ofthedoubleana~tomatgroup(P<0．05)．Theexcellentandg

6、oodrateoffecescontrolfunction，postoperativerecurrencesituation，survivalsituationandincidenceofcomplicationsattheendof6monthsafterthesurgeryoftheanastomat-freegroupwerenotsignificantlydifferentfromthoseofthedoubleanastomatgroup(P>O．05)．ConclusionTheanastomat-freedr

7、ag-outultra-lowpositionsphincterpreservationsurgeryofrectalcancercanpromoteanalfune—tionrecovery，hasaccurateeficacy，issimpleandpracticalonthebasisofensuringtheradicaltreatmentoftumorandpreservinganalfunctionrecovery，therebywoahyofclinicalpromotionandapplication．【K

8、eywords】Doubleanastomatretaldrag-outsurgery；Anastomat-freeretaldrag-outsurgery；Preservationsurgeryofrectalcancer；Analfunction直肠癌是临床常见的一种恶性肿瘤，发病率占我外科2007