实用癌症杂志
實用癌癥雜誌
실용암증잡지
THE PRACTICAL JOURNAL OF CANCER
2015年
4期
547-549
,共3页
老年低位直肠癌%保肛根治术%腹会阴联合直肠癌根治术
老年低位直腸癌%保肛根治術%腹會陰聯閤直腸癌根治術
노년저위직장암%보항근치술%복회음연합직장암근치술
Elderly patients with low rectal cancer%Anus-preserving radical resection%Abdominoperineal resection of rectal cancer
目的：探讨对老年低位直肠癌患者采用保肛根治术治疗的临床效果及安全性。方法收集84例老年低位直肠癌患者的临床资料，根据治疗方法分为观察组（保肛根治术治疗）与对照组（采用腹会阴联合直肠癌根治术治疗），比较分析2组的疗效及并发症。结果观察组患者的1年、3年、5年生存率分别为90．48％、80．95％、66．67％，与对照组的90．48％、76．19％、61．90％差异不明显，无统计学意义（P＞0．05）；观察组的局部复发率为14．29％，与对照组的14．29％无差异（P＞0．05）；观察组患者的并发症发生率为11．90％，显著低于对照组的23．81％，有统计学意义（P＜0．05）；观察组患者术后的生活质量评分显著高于对照组，有统计学意义（P＜0．05）。结论对老年低位直肠癌患者采用保肛根治术治疗，能有效减少手术并发症的发生，且能提高患者的生活质量，值得推广。
目的：探討對老年低位直腸癌患者採用保肛根治術治療的臨床效果及安全性。方法收集84例老年低位直腸癌患者的臨床資料，根據治療方法分為觀察組（保肛根治術治療）與對照組（採用腹會陰聯閤直腸癌根治術治療），比較分析2組的療效及併髮癥。結果觀察組患者的1年、3年、5年生存率分彆為90．48％、80．95％、66．67％，與對照組的90．48％、76．19％、61．90％差異不明顯，無統計學意義（P＞0．05）；觀察組的跼部複髮率為14．29％，與對照組的14．29％無差異（P＞0．05）；觀察組患者的併髮癥髮生率為11．90％，顯著低于對照組的23．81％，有統計學意義（P＜0．05）；觀察組患者術後的生活質量評分顯著高于對照組，有統計學意義（P＜0．05）。結論對老年低位直腸癌患者採用保肛根治術治療，能有效減少手術併髮癥的髮生，且能提高患者的生活質量，值得推廣。
목적：탐토대노년저위직장암환자채용보항근치술치료적림상효과급안전성。방법수집84례노년저위직장암환자적림상자료，근거치료방법분위관찰조（보항근치술치료）여대조조（채용복회음연합직장암근치술치료），비교분석2조적료효급병발증。결과관찰조환자적1년、3년、5년생존솔분별위90．48％、80．95％、66．67％，여대조조적90．48％、76．19％、61．90％차이불명현，무통계학의의（P＞0．05）；관찰조적국부복발솔위14．29％，여대조조적14．29％무차이（P＞0．05）；관찰조환자적병발증발생솔위11．90％，현저저우대조조적23．81％，유통계학의의（P＜0．05）；관찰조환자술후적생활질량평분현저고우대조조，유통계학의의（P＜0．05）。결론대노년저위직장암환자채용보항근치술치료，능유효감소수술병발증적발생，차능제고환자적생활질량，치득추엄。
Objective To explore the clinical efficacy and safety of anus-preserving radical resection for elderly low-rec-tal cancer.Methods 84 cases of elderly patients with low rectal cancer were divided into the research group( anus-preserving radical resection,42 cases) and the control group( abdominoperineal resection of rectal cancer,42 cases) .Results The 1-,3-and 5-year survival rates of the research group were 90.48%,80.95%,66.67%;1-,3-and 5-year survival rates of the control group were 90.48%,76.19%,61.90%,there had no significant difference(P>0.05);The local recurrence rate in the research group was 14.29%,and that of the control group was 14.29%,there had no significant difference( P>0.05);The complication rates in the research group(11.90%),which was lower than that of the control group(23.81%)(P<0.05);The scores of QOL in the research group was higher than that of the control group,there had significant difference(P<0.05).Conclusion Anus-preser-ving radical resection for elderly patients with low rectal cancer can reduce the complications and increase the QOL,it is worthy of clinical promotion.
