CAJ | 학술논문

目的：探讨腹腔镜下的肛门括约肌间切除术(ISR)应用于临床超低位的直肠癌保肛手术(SSO)治疗方面的优点。方法70例直肠癌患者按照手术的方式随机平分为两组，一组接受腹腔镜下的ISR超低位SSO(称腹腔镜组)，另外一组实行开腹的ISR超低位SSO(对照组)，比较两组临床治疗效果。结果腹腔镜组手术平均用时、术中出血量和住院时间均明显低于对照组(P<0.05)，其主要术后的并发症为结肠膜脱出和肛周湿疹，而两组患者的术后排便情况以及肛压测定结果差异不显著(P>0.05)。结论腹腔镜下ISR超低位直肠癌SSO创口小，安全可行，对于直肠癌患者的短期治疗疗效较好，值得应用。
목적：탐토복강경하적항문괄약기간절제술(ISR)응용우림상초저위적직장암보항수술(SSO)치료방면적우점。방법70례직장암환자안조수술적방식수궤평분위량조，일조접수복강경하적ISR초저위SSO(칭복강경조)，령외일조실행개복적ISR초저위SSO(대조조)，비교량조림상치료효과。결과복강경조수술평균용시、술중출혈량화주원시간균명현저우대조조(P<0.05)，기주요술후적병발증위결장막탈출화항주습진，이량조환자적술후배편정황이급항압측정결과차이불현저(P>0.05)。결론복강경하ISR초저위직장암SSO창구소，안전가행，대우직장암환자적단기치료료효교호，치득응용。
Objective To study the various aspects of the outstanding advantages that intersphinctefic resection, anal sphincter resection (ISR) was applied to the clinical ultra-low position rectal cancer anal surgery (SSO) treatment. Methods From 70 patients with rectal cancer in our hospital were divided into two groups at random in accordance with the operation mode and the average. Patients in one group were treated by laparoscopic ISR ultra-low a SSO (called a mirror abdominal group), and patients in another group were treated by opening the IRS ultra-low a SSO (control group), compared the clinical outcomes. Results From the point of the analysis of the clinical operation, all patients with abdominal lens group line TME (total mesorectum excision), no open treatment conditions, the average op-eration time and intraoperative blood loss were significantly and hospital stayed lower than control group in patients (P< 0.05), the main postoperative complications for colon membrane prolapse and crissum eczema (not severity complica-tion), and two groups of patients with postoperative bowel and anal pressure determination results had no significant dif-ference (P> 0.05). Conclusion Laparoscopic IRS ultra-low rectal cancer SSO wound was small, safe and feasible, for the short-term treatment of patients with rectal cancer curative effect was good and being worthy of application.