中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2010年
10期
61-62
,共2页
直肠癌%全直肠系膜%切除%局部复发
直腸癌%全直腸繫膜%切除%跼部複髮
직장암%전직장계막%절제%국부복발
Rectal Cancer%Entire mesorectum%Excision%Partial recrudescence
目的 探讨直肠癌全直肠系膜切除术(TME)与传统直肠癌切除术的治疗效果.方法 对74例行TME手术治疗患者(TME组)和58例传统直肠癌根治术患者(传统手术组)进行临床分析.结果 TME组平均随访24个月,4例局部复发,其中2例有局部及远处复发,24个月复发率为5.4%.传统手术组平均随访8年,复发了13例,复发率为22.4%(x2=19.93,P＜0.01).TME组2年生存率为86.5%(10/64),传统组则为75.9%(14/44),TME组生存率高于传统组(x2=4.93,P＜0.05).结论 与传统的直肠癌根治术相比,TME能提高生存率,降低复发率.
目的 探討直腸癌全直腸繫膜切除術(TME)與傳統直腸癌切除術的治療效果.方法 對74例行TME手術治療患者(TME組)和58例傳統直腸癌根治術患者(傳統手術組)進行臨床分析.結果 TME組平均隨訪24箇月,4例跼部複髮,其中2例有跼部及遠處複髮,24箇月複髮率為5.4%.傳統手術組平均隨訪8年,複髮瞭13例,複髮率為22.4%(x2=19.93,P＜0.01).TME組2年生存率為86.5%(10/64),傳統組則為75.9%(14/44),TME組生存率高于傳統組(x2=4.93,P＜0.05).結論 與傳統的直腸癌根治術相比,TME能提高生存率,降低複髮率.
목적 탐토직장암전직장계막절제술(TME)여전통직장암절제술적치료효과.방법 대74례행TME수술치료환자(TME조)화58례전통직장암근치술환자(전통수술조)진행림상분석.결과 TME조평균수방24개월,4례국부복발,기중2례유국부급원처복발,24개월복발솔위5.4%.전통수술조평균수방8년,복발료13례,복발솔위22.4%(x2=19.93,P＜0.01).TME조2년생존솔위86.5%(10/64),전통조칙위75.9%(14/44),TME조생존솔고우전통조(x2=4.93,P＜0.05).결론 여전통적직장암근치술상비,TME능제고생존솔,강저복발솔.
Objective To diseussion Rectal Cancer entire mesorectum excision method(TME)and traditional Rectal Cancer excision method treatment result.Methods Treats the patient to 74 routine TME surgefies( the TME group)and 58 example tradition Rectal Cancer root governing skill patient(traditional surgery group) carries on the clinical analysis.Results The TME group average wade a follow-up visit for 24 months,4 example partial recrudescences,2 examples had partial and the distant place recrudescence,24 month recurrence rates were 5.4%.The traditional surgery group average wade a follow-up visit for 8 years,had recurred 13 examples,the recurrence rate is 22.4%(x2 = 19.93,P ＜0.01).A TME group 2 year survival rate is 86.5%(10/64),the traditional group is 75.9%(14/44),the TME group survival rate is higher than the traditional group (x2 = 4.93,P ＜ 0.05).Conclusion Compares with the traditional Rectal Cancer root governing skill,TME can improve survival and reduce recurrence rate.
