CAJ | 학술논문

目的：研究腹腔镜下全直肠系膜切除术对肛门功能的影响。方法80例直肠癌患者随机分为开腹手术组及腔镜组，每组40例，分别行传统开腹手术及腹腔镜手术。通过Wexner评分系统对比两组患者术后肛门功能情况。结果术后3、6个月，腔镜组患者肛门功能良好率82.5%、87.5%分别高于开腹手术组患者的60.0%、67.5%，差异具有统计学意义(P<0.05)。结论腹腔镜下全直肠系膜切除术相比传统开腹手术在保留肛门功能方面有一定优势。
목적：연구복강경하전직장계막절제술대항문공능적영향。방법80례직장암환자수궤분위개복수술조급강경조，매조40례，분별행전통개복수술급복강경수술。통과Wexner평분계통대비량조환자술후항문공능정황。결과술후3、6개월，강경조환자항문공능량호솔82.5%、87.5%분별고우개복수술조환자적60.0%、67.5%，차이구유통계학의의(P<0.05)。결론복강경하전직장계막절제술상비전통개복수술재보류항문공능방면유일정우세。
Objective To study influence of laparoscopic total mesorectal excision on anal function. Methods A total of 80 patients with rectal carcinoma were randomly divided into laparotomy group and laparoscope group, with 40 cases in each group. Traditional laparotomy and laparoscopic surgery were performed in each group. Postoperative anal function was compared by Wexner scoring system between the two groups. Results In the postoperative 3, 6 months, the good rates of anal funcation in laparoscope group were 82.5%and 87.5%, which were all higher than 60.0%and 67.5%of the laparotomy group. The difference had statistical significance (P<0.05). Conclusion Laparoscopic total mesorectal excision has a certain advantage in retaining anal function than traditional laparotomy.