CAJ | 학술논문

目的：探讨支撑管在低位直肠癌保肛术中的应用。方法随机选取了该院于2013年4月-2014年5月收治的100例低位直肠癌保肛手术患者，随机分为50例对照组采用DST双吻合技术，研究组50例采用支撑管吻合法，全部切除了直肠系膜，并完整保留了肛门括<肌，采用支撑管进行超低位结肠一肛管吻合术重建消化道。术后对两组的疗效进行对比分析。结果术后病理标本检查表明研究组未残留远端肿瘤，对照组1例；研究组的肿瘤远端切除距离显著优于对照组(P<0.05)。对照组复发率和并发症发生率均高于研究组(P<0.05)。结论支撑管吻合术相比DST双吻合技术而言安全可靠，操作简便经济，适于在临床推广使用。
목적：탐토지탱관재저위직장암보항술중적응용。방법수궤선취료해원우2013년4월-2014년5월수치적100례저위직장암보항수술환자，수궤분위50례대조조채용DST쌍문합기술，연구조50례채용지탱관문합법，전부절제료직장계막，병완정보류료항문괄<기，채용지탱관진행초저위결장일항관문합술중건소화도。술후대량조적료효진행대비분석。결과술후병리표본검사표명연구조미잔류원단종류，대조조1례；연구조적종류원단절제거리현저우우대조조(P<0.05)。대조조복발솔화병발증발생솔균고우연구조(P<0.05)。결론지탱관문합술상비DST쌍문합기술이언안전가고，조작간편경제，괄우재림상추엄사용。
Objective Comparing supporting anastomosis line of low rectal cancer anal surgery clinical effect,indications and advantages and dis-advantages of health economics. Methods Edge of 100 patients from 2013 April to 2014 May with low rectal cancer anal surgery,were randomly divided into treatment group and control group 50 cases each.Treatment group support fit method,the control group uses the DST Double Sta-pling Technique,DST Double anastomosis;And two groups of curative effect comparison. Results Post-operative pathological detection of distal tumor residue,prompt treatment group patients in the control group had 1 cases.Distal tumor resection range,Two groups of comparisons,with statistical difference (P<0.05).Control group recur-rence rate higher than the treatment group (P<0.05).Conclusion Support contrast an astomosis DST double anastomosis for low rectal cancer protect anal curative effect on the patients,clinical observation of small sample recent recurrence rate is low,and low pro-duction cost,simple operation method.