摘要
目的总结低位直肠癌保肛治疗手术经验。方法回顾性分析29例低位直肠癌根治和改良Parks手术吻合及术后随访资料。结果29例中无手术死亡病例，术后吻合口瘘1例，经引流换药等处理后治愈。吻合口狭窄1例，扩肛半年后治愈。29例术后肛门功能良好，1年后每日排便1～2次者29例，良好率100％。术后均采用综合化疗方案化疗，1、3、5年生存率分别为100％（29例）、76．8％（22例）、65．5％（19例）。结论低位直肠癌根治采用改良Parks手术保肛治疗，疗效较好，生活质量较好。
Objective To analyze the therapeutic efficacy of modified Park＇s operation for anal sphincter preservation in low rectal cancer. Methods Clinical data of 29 patients undergoing total meso- rectal excision（TME）and modified Park＇s operation for low rectal cancer were analyzed. Results There was no operation death. Postoperative anastomotie leakage occurred in 1 case and was cured by drainage and dressing change. Anaotomatic stricture occurred in 1 case and was cured by dilation for 6 months. The anal sphincter function was recovered in 29 patients postoperatively. After 1 year,29 patients（ 100% ）could defaecate 1 -2 times every day. Postoperative comprehensive chemotherapy was carried out in all cases. The overall 1 - ,3 - and 5 - year survival rate was 100% （29 cases） ,76.8% （22 cases） ,and 65.5% （ 19 cases） ,respectively. Conclusion TME and modified Parkg operation for low rectal cancer is recommendable to preserve anal sphincter function with high therapeutic efficacy.
出处
《临床外科杂志》
2011年第7期479-480,共2页
Journal of Clinical Surgery
