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目的:评价全直肠系膜切除(TME)对中低位直肠癌根治术后局部复发率及5 a生存率的影响。方法:回顾性分析1998-07~2000-02共52例行TME治疗中低位直肠癌术后患者的临床资料,与非TME术后局部复发率、5 a生存率及术后性功能和膀胱功能进行比较。结果:5例发生吻合口瘘。术后随访6个月~5 a,盆腔复发1例,无吻合口狭窄、吻合瘘复发。40例男性患者中,回访60岁以下29例,性功能较术前有所减弱,但基本正常,尿失禁及排尿困难等症状术后普遍存在,随时间的延长(6个月~1 a)均逐渐恢复。结论:中低位直肠癌实施TME后,局部复发率明显降低,保肛率及5a生存率明显提高,术后性生活和膀胱功能恢复较好,提高了患者术后长期的存活率和生存质量。
Objective: To evaluate the effect of total mesorectal excision (TME) on the local recurrence rate and 5-year survival rate after radical mastectomy for low and middle rectal cancer. Methods: The clinical data of 52 postoperative patients with low and middle rectal cancer treated with TME from July 1998 to February 2000 were analyzed retrospectively. The rates of local recurrence, 5-year survival rate, postoperative sexual function and bladder function Compare. Results: Anastomotic fistula occurred in 5 cases. The patients were followed up for 6 months to 5 years and pelvic recurrence was found in 1 case. There was no anastomotic stenosis and fistula recurrence. Among the 40 male patients, 29 cases under the age of 60 were retrospectively reviewed. The sexual function was weakened compared with that before the operation, but the symptoms were basically normal. Urinary incontinence and dysuria were common postoperatively. With the prolongation of time (6 months to 1 year) Are gradually restored. CONCLUSIONS: The local recurrence rate is significantly reduced after TME is performed in low and middle rectal cancer, and the anus retention rate and 5a survival rate are significantly increased. The postoperative sexual life and bladder function recovery are better, which improves the long-term survival rate and quality of life of postoperative patients.