中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
21期
14-15
,共2页
庄兢%夏庆欣%高阳%张勇超%刘永刚
莊兢%夏慶訢%高暘%張勇超%劉永剛
장긍%하경흔%고양%장용초%류영강
早期直肠癌%局部切除术%根治术
早期直腸癌%跼部切除術%根治術
조기직장암%국부절제술%근치술
Early rectal cancer%Local resection%Radical resection
目的 探讨局部切除术在早期直肠癌治疗中的临床应用价值.方法 回顾性分析117例早期直肠癌患者的临床资料,其中局部切除75例,根治术42例,比较两种术式的术后并发症和预后(5年生存率)情况.结果 局部切除组术后并发症发生率5.3%,5年生存率85.3%;根治组术后并发症发生率16.7%,5年生存率90.5%.两种术式的5年生存率比较差异无统计学意义(P>0.05),术后并发症发生率局部切除组明显低于根治组(P<0.05).结论 局部切除术治疗早期直肠癌,方法 简单可靠,并发症少,能提高患者术后生存质量.严格选择合适病例是治疗的关键.
目的 探討跼部切除術在早期直腸癌治療中的臨床應用價值.方法 迴顧性分析117例早期直腸癌患者的臨床資料,其中跼部切除75例,根治術42例,比較兩種術式的術後併髮癥和預後(5年生存率)情況.結果 跼部切除組術後併髮癥髮生率5.3%,5年生存率85.3%;根治組術後併髮癥髮生率16.7%,5年生存率90.5%.兩種術式的5年生存率比較差異無統計學意義(P>0.05),術後併髮癥髮生率跼部切除組明顯低于根治組(P<0.05).結論 跼部切除術治療早期直腸癌,方法 簡單可靠,併髮癥少,能提高患者術後生存質量.嚴格選擇閤適病例是治療的關鍵.
목적 탐토국부절제술재조기직장암치료중적림상응용개치.방법 회고성분석117례조기직장암환자적림상자료,기중국부절제75례,근치술42례,비교량충술식적술후병발증화예후(5년생존솔)정황.결과 국부절제조술후병발증발생솔5.3%,5년생존솔85.3%;근치조술후병발증발생솔16.7%,5년생존솔90.5%.량충술식적5년생존솔비교차이무통계학의의(P>0.05),술후병발증발생솔국부절제조명현저우근치조(P<0.05).결론 국부절제술치료조기직장암,방법 간단가고,병발증소,능제고환자술후생존질량.엄격선택합괄병례시치료적관건.
Objective To investigate the value of clinical application in local resection for the treatment of early rectal cancer. Methods One hundred and seventeen patients with early rectal cancer were divided into two groups: local resection group (patients underwent local resection, n=75) and radical resection group (patients underwent radical resection, n=42), prognosis and the rate of postoperative complications were compared with each other. Results The rate of postoperative complications in local resection group was 5.3%, significantly lower than that in radical resection group (16.7%) (P<0.05). The 5 years' survival rate were 85.3% for local resection group and 90.5% for radical resection, there was no difference between the two groups (P>0.05). Conclusions The local resection in early rectal cancer is simple and feasible, the rate of postoperative complications is low, the postoperative survival quality is better. And carefully considering indication for local excision in early rectal cancer is critical.