中国肿瘤外科杂志
中國腫瘤外科雜誌
중국종류외과잡지
Chinese Journal of Surgical Oncology
2015年
5期
305-306
,共2页
直肠癌%全直肠系膜切除%自主神经%双吻合器技术%保肛术%低位
直腸癌%全直腸繫膜切除%自主神經%雙吻閤器技術%保肛術%低位
직장암%전직장계막절제%자주신경%쌍문합기기술%보항술%저위
colorectal cancer%total mesorectal excision%autonomic nerve%double stapling tech-nique%sphincter preservation%lower position
目的：总结保留盆腔自主神经的全直肠系膜切除术在低位直肠癌保肛手术中的应用体会。方法回顾分析应用保留盆腔自主神经的全直肠系膜切除术结合双吻合器技术治疗的32例低位直肠癌患者的临床资料。结果术后局部复发率为6.25%,5年生存率为75.0%,排尿功能障碍12.5%,性功能障碍18.75%。结论低位直肠癌应用保留盆腔自主神经的全直肠系膜切除术可有效降低局部复发率和提高生存率,并能较好保留直肠癌患者术后的排尿和性功能,是有效、安全的理想术式。
目的：總結保留盆腔自主神經的全直腸繫膜切除術在低位直腸癌保肛手術中的應用體會。方法迴顧分析應用保留盆腔自主神經的全直腸繫膜切除術結閤雙吻閤器技術治療的32例低位直腸癌患者的臨床資料。結果術後跼部複髮率為6.25%,5年生存率為75.0%,排尿功能障礙12.5%,性功能障礙18.75%。結論低位直腸癌應用保留盆腔自主神經的全直腸繫膜切除術可有效降低跼部複髮率和提高生存率,併能較好保留直腸癌患者術後的排尿和性功能,是有效、安全的理想術式。
목적：총결보류분강자주신경적전직장계막절제술재저위직장암보항수술중적응용체회。방법회고분석응용보류분강자주신경적전직장계막절제술결합쌍문합기기술치료적32례저위직장암환자적림상자료。결과술후국부복발솔위6.25%,5년생존솔위75.0%,배뇨공능장애12.5%,성공능장애18.75%。결론저위직장암응용보류분강자주신경적전직장계막절제술가유효강저국부복발솔화제고생존솔,병능교호보류직장암환자술후적배뇨화성공능,시유효、안전적이상술식。
Objective Pelvic autonomic nerve preservation discussed the total mesorectum excision of ap-plication in low rectal cancer anal surgery. Methods Retrospective analysis of pelvic autonomic nerve preserva-tion application of total mesorectal excision combined with double stapling technique for the treatment of the clin-ical data of 32 patients with low rectal cancer. Results Local recurrence rate was 6. 25%, and 5-year survival rate was 75%, 12. 5% voiding dysfunction, sexual dysfunction (18. 75%). Conclusions Low rectal cancer pelvic autonomic nerve preservation application of total mesorectum excision can effectively reduce the local re-currence rate and improve survival rate, and can better keep colorectal cancer patients with postoperative mictu-rition and sexual function. Sphincter preservation in total mesoretal excision of low rectal carcinoma is effective, safe and relatively ideal operating style.
