CAJ | 학술논문

目的总结和分析低位直肠癌保肛的局部复发和远期治疗的结果 .方法对1995年12月至2002年12月在本院外科行手术治疗的低位直肠癌(肿瘤下缘距肛缘6 cm)进行回顾性分析,筛选出性别、年龄、肿瘤部位、病理组织学类型和Dukes分期、术前术后治疗情况等采用卡方分割、多因素统计法分析、P＜0.05,均无显著差异的64例,其中保肛手术组37例、Miles手术组27例.结果保肛手术组2年局部复发 5例( 13.5%)、5年生存率 20例(54%);Miles手术组2年局部复发3例(11% )、5年生存率15例(55.5% ).两组差异无统计学意义(P＜0.05).结论在严格掌握手术适应征的前提下,低位直肠癌行保肛手术可行.
목적 총결화분석저위직장암보항적국부복발화원기치료적결과 .방법 대1995년12월지2002년12월재본원외과행수술치료적저위직장암(종류하연거항연6 cm)진행회고성분석,사선출성별、년령、종류부위、병리조직학류형화Dukes분기、술전술후치료정황등채용잡방분할、다인소통계법분석、P＜0.05,균무현저차이적64례,기중보항수술조37례、Miles수술조27례.결과 보항수술조2년국부복발 5례( 13.5%)、5년생존솔 20례(54%);Miles수술조2년국부복발3례(11% )、5년생존솔15례(55.5% ).량조차이무통계학의의(P＜0.05).결론 재엄격장악수술괄응정적전제하,저위직장암행보항수술가행.
Objective To summary and analysis local recurrence and long-term treatment effects of saving surgery for lower rectal cancer . Methods Retrospective analysis of clinical feature in 64 patients with lower rectal cancer(the lower edge of the tumor from the anal margin of 6 cm) was carried out. For the 64 patients, there was no significant difference(P＜0.05) in gender, age, tumor site, pathological type and Dukes phases,treatment states before and after operation ,et al, when Chi-square partition and multi-factor statistical analysis were used. 37 cases were in Saving anus surgery group, while 27 cases in Miles operation group. Results 2-year local recurrence and 5-year survival rate of the Saving anus surgery groupwas 13.5% (5 cases) and 54% (20 cases) respectively. 2-year local recurrence and 5-year survival rate of Miles surgery group was 11% (3 cases) and 55.5% (15 cases) respectively. There was no significant differences between the two groups(P＜0.05).Conclusions Saving anus surgery for patient with lower rectal cancer is feasible if the operation indication were strictly grasped.