中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
1期
39-40
,共2页
直肠肿瘤%结直肠外科手术
直腸腫瘤%結直腸外科手術
직장종류%결직장외과수술
Rectal neoplasms%Colorectal surgery
目的 总结直肠癌患者行全直肠系膜切除术(TME)的临床疗效.方法 对42例直肠癌患者按照TME原则行根治性切除术的临床资料进行回顾性分析.结果 42例均获得根治性切除.其中36例行吻合器吻合,术后发生吻合口漏3例,1例二次手术行结肠造瘘术,另2例通过引流、加强营养支持愈合.术后根据病情辅助化疗及放疗.随访时间6～36个月,肿瘤局部复发2例,肝转移1例.结论 TME能有效预防直肠癌保肛术后局部复发率,提高生活质量.
目的 總結直腸癌患者行全直腸繫膜切除術(TME)的臨床療效.方法 對42例直腸癌患者按照TME原則行根治性切除術的臨床資料進行迴顧性分析.結果 42例均穫得根治性切除.其中36例行吻閤器吻閤,術後髮生吻閤口漏3例,1例二次手術行結腸造瘺術,另2例通過引流、加彊營養支持愈閤.術後根據病情輔助化療及放療.隨訪時間6～36箇月,腫瘤跼部複髮2例,肝轉移1例.結論 TME能有效預防直腸癌保肛術後跼部複髮率,提高生活質量.
목적 총결직장암환자행전직장계막절제술(TME)적림상료효.방법 대42례직장암환자안조TME원칙행근치성절제술적림상자료진행회고성분석.결과 42례균획득근치성절제.기중36례행문합기문합,술후발생문합구루3례,1례이차수술행결장조루술,령2례통과인류、가강영양지지유합.술후근거병정보조화료급방료.수방시간6～36개월,종류국부복발2례,간전이1례.결론 TME능유효예방직장암보항술후국부복발솔,제고생활질량.
Objective To investigate the clinical effect of the radial rectectomy with total mesorectal excision ih rectal cancer patients. Methods 42 cases with rectal cancer received total mesorectal excision were analyzed retrospectively. Results All 42 cases were performed with radial excision successfully,36 cases by stapling device. 3 cases of leak of anastomosis was happened after operation, one case treated with ostomy, the other two cases through drainage and better nutrition were cured. Assistant chemotherapy and radiotherapy were given to the patients. All patientswere followed up for 6 ～ 36 months, 2 cases with local tumor recurrence, liver metastasis 1 case.Conclusion The mesorectectomy excision could prevent the local recurrence after the operation of rectal carcinoma.It was effective to improve the patients'life quality.
