中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2014年
4期
416-418
,共3页
低位直肠癌%保肛手术%生活质量
低位直腸癌%保肛手術%生活質量
저위직장암%보항수술%생활질량
Low or ultralow rectal cancer%Sphincter preserving operation%Life quality
目的 探讨低位直肠癌保留肛门手术方式[支撑捆扎法(SBP)和双吻合器法(DST)]的临床疗效及对生活质量的影响.方法 回顾性分析青岛市立医院和广州中山医科大学附属医院大肠癌数据库低位直肠癌114例,其中,DST患者64例(DST组),SBP患者50例(SBP组);两组均采用全直肠系膜切除术(TME),术后采用徐忠法肛门功能标准检测肛门功能,并随访5年.结果 患者术后5年生存率及局部复发率:DST组为65.63％ (37/64)、20.03％ (13/64),SBP组为76.0％(38/50)、6.0％(3/50),两组比较差异均有统计学意义(P值分别为0.049、0.032).低位直肠癌保肛手术后排尿、排便及性功能障碍发生率:DST组为31.25％(20/64)、17.19％(11/64)、45.31％ (29/64),SBP组为14.00％(7/50)、4.00％(2/50)、26.00％(13/50),差异均有统计学意义(P值分别为0.037、0.045、0.034).结论 对有保肛手术指征的低位直肠癌患者,SBP和DST两种术式对低位直肠癌保肛均是可行的,在不影响5年生存率的情况下,SBP患者术后生存质量明显高于DST患者.
目的 探討低位直腸癌保留肛門手術方式[支撐捆扎法(SBP)和雙吻閤器法(DST)]的臨床療效及對生活質量的影響.方法 迴顧性分析青島市立醫院和廣州中山醫科大學附屬醫院大腸癌數據庫低位直腸癌114例,其中,DST患者64例(DST組),SBP患者50例(SBP組);兩組均採用全直腸繫膜切除術(TME),術後採用徐忠法肛門功能標準檢測肛門功能,併隨訪5年.結果 患者術後5年生存率及跼部複髮率:DST組為65.63％ (37/64)、20.03％ (13/64),SBP組為76.0％(38/50)、6.0％(3/50),兩組比較差異均有統計學意義(P值分彆為0.049、0.032).低位直腸癌保肛手術後排尿、排便及性功能障礙髮生率:DST組為31.25％(20/64)、17.19％(11/64)、45.31％ (29/64),SBP組為14.00％(7/50)、4.00％(2/50)、26.00％(13/50),差異均有統計學意義(P值分彆為0.037、0.045、0.034).結論 對有保肛手術指徵的低位直腸癌患者,SBP和DST兩種術式對低位直腸癌保肛均是可行的,在不影響5年生存率的情況下,SBP患者術後生存質量明顯高于DST患者.
목적 탐토저위직장암보류항문수술방식[지탱곤찰법(SBP)화쌍문합기법(DST)]적림상료효급대생활질량적영향.방법 회고성분석청도시립의원화엄주중산의과대학부속의원대장암수거고저위직장암114례,기중,DST환자64례(DST조),SBP환자50례(SBP조);량조균채용전직장계막절제술(TME),술후채용서충법항문공능표준검측항문공능,병수방5년.결과 환자술후5년생존솔급국부복발솔:DST조위65.63％ (37/64)、20.03％ (13/64),SBP조위76.0％(38/50)、6.0％(3/50),량조비교차이균유통계학의의(P치분별위0.049、0.032).저위직장암보항수술후배뇨、배편급성공능장애발생솔:DST조위31.25％(20/64)、17.19％(11/64)、45.31％ (29/64),SBP조위14.00％(7/50)、4.00％(2/50)、26.00％(13/50),차이균유통계학의의(P치분별위0.037、0.045、0.034).결론 대유보항수술지정적저위직장암환자,SBP화DST량충술식대저위직장암보항균시가행적,재불영향5년생존솔적정황하,SBP환자술후생존질량명현고우DST환자.
Objective To evaluate the influence of anus-preserved procedures on life quality of patients with low rectal carcinoma.Methods One hundred and forth cases with low rectal carcinoma who underwent double stapling technique(DST) (n =64) or support binding procedure(SBP) (n =50) were selected as our subjects.Patients in both group were undergone total mesorectal excision (TME) to sever mesorectum.Anal Function was assessed by Xu Zhongfa Anal-Function's criterion after operation.All patients were performed a 5 years follow-up.Results The 5-years survival rate and local recurrence rate were 65.63％ (37/64),20.03％ (13/64) respectively in DST group,and 76.0％ (38/50),6.0％ (3/50) in SBP group.The differences were significant (P =0.049,0.032).The postoperative general occurrence rate of dysuria,dysporia and sexual disorder in the DST group were 31.25％ (20/64),17.19％ (11/64) and 45.31％ (29/64) respectively,higher than those of SBP group(14.00％ (7/50),4.00％ (2/50) and 26.00％ (13/50) ;P =0.037,0.045,0.034).Conclusion Both DST and SBP therapy are proved to be effective in terms of anus-preserved treatment for low rectal cacinoma.5-year survival rate is similar in the two groups,while the survival quality is better in SBP group than in DST group.
