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直肠癌全直肠系膜切除47例临床分析

Clinical Analysis on Therapeutic Efficacy of Total Mesorectal Excision in the Treatment of Rectal Carcinoma Patients:Analysis of 47 Cases
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摘要 为探讨直肠癌患者行全直肠系膜切除(TME)的临床疗效,对采用TME方法行根治性切除术的47例直肠癌患者资料进行回顾性分析。结果显示,全组无手术死亡,无骶前大出血、输尿管损伤发生。术后发生吻合口漏2例,局部复发2例,吻合口出血3例,吻合口狭窄1例,均经保守治疗痊愈。结果表明,TME是预防直肠癌术后局部复发,提高患者生活质量的有效措施,直肠癌根治性手术中采用TME方法是完全必要的。 The objective of the study was to observe the therapeutic efficacy of total mesorectal excision (TME) in the treatment of rectal carcinoma patients (RCP). The clinical data of the 47 cases who had undergone TME were analyzed retrospectively. As results , there was no operative death,no presacral hematorrhea and no injury of ureter. Postoperative anastomotie leakage occurred in 2 cases,local recurrence in 2 cases,anastomotic stoma bleeding in 3 cases and anastomotic stricture in 1 case, all of whom were cured with conservative treatment. It is concluded that TME is a better procedure in the prevention of postoperative local recurrence of rectal carcinoma and to enhance the life quality of the patients;application of TME in radical treatment of rectal carcinoma is necessary completely.
作者 程力
出处 《中国肛肠病杂志》 2011年第2期23-24,共2页 Chinese Journal of Coloproctology
关键词 直肠癌 全直肠系膜切除 疗效分析 Rectal carcinoma Total mesorecal excision Analysis of therapeutic efficacy
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