CAJ | 학술논문

目的：探讨低位直肠癌根治术不同术式的临床疗效，为临床提供参考。方法选择2002年6月-2006年6月行低位直肠癌根治术的216例患者资料进行回顾性分析，按术式不同分为三组，局部切除的102例患者为A组，TME+Dixon的62例患者为B组，TME+ Miles 52例患者为C组，观察患者并发症、复发率、5年生存率的差异。结果 A组患者5年生存率与复发率、并发症分别为（89.22％）、（37.25％）、（17.65％），B组分别为（61.29％）、（22.58％）、（6.45％），C组分别为（59.62％）、（23.08％）、（3.84％），A组5年生存率、复发率、并发症发生率显著高于B组及C组,差异有统计学意义（P﹤0.05），而B、C两组相比，差异无统计学意义（P﹥0.05）。结论对低位直肠癌，可根据病灶大小、病理学类型、Dukes分期等把握术式选择的适应症，保肛术式为首选，Miles 术为最后的选择。
목적：탐토저위직장암근치술불동술식적림상료효，위림상제공삼고。방법선택2002년6월-2006년6월행저위직장암근치술적216례환자자료진행회고성분석，안술식불동분위삼조，국부절제적102례환자위A조，TME+Dixon적62례환자위B조，TME+ Miles 52례환자위C조，관찰환자병발증、복발솔、5년생존솔적차이。결과 A조환자5년생존솔여복발솔、병발증분별위（89.22％）、（37.25％）、（17.65％），B조분별위（61.29％）、（22.58％）、（6.45％），C조분별위（59.62％）、（23.08％）、（3.84％），A조5년생존솔、복발솔、병발증발생솔현저고우B조급C조,차이유통계학의의（P﹤0.05），이B、C량조상비，차이무통계학의의（P﹥0.05）。결론대저위직장암，가근거병조대소、병이학류형、Dukes분기등파악술식선택적괄응증，보항술식위수선，Miles 술위최후적선택。
Objective To discuss the effects of different operation mode in radical resection of low rectal cancer. Methods Clinical datas about 216 cases with low rectal cancer in June 2002 were analyzed retrospectively.216 caseswere divided into three groups according to different operation mode,102 patients with local excision were in group A,62 patients with TME+DIXON were in group B,52 patients with TME+MILES were in group C.The complications, recurrence rate, 5 year's survival rates were observed. Results The rate of 5-year survival,recurrence and complications of A groups were (89.22%)、(37.25%) and (17.65%),The B groups were (61.29%),(22.58%) and (6.45%).The C group were (59.62%),(23.08%), (3.84%),. The rate of 5-year survival,recurrence and complications of A groups were higher than that in group B and group C (P﹤0.05 ), while B, C groups, the difference was not statistically significant (P>0.05). Conclusion For low rectal cancer, we can choice the operation mode according to the size of the lesion , the histopathologic typesand Dukes stage g. Anus operation is the first selection, Miles for the final choice was.