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目的:探讨直肠拖出切除吻合术在低位直肠癌治疗中治疗的作用。方法:选取我院2010年2月～2012年1月收治的50例进行直肠拖出切除吻合术的低位直肠癌患者临床资料,对手术治疗及患者恢复情况进行总结分析。结果:50例患者手术均成功完成,手术时间205.2±35.6分钟,手术出血量115.4±65.6分钟,平均切除淋巴结15.4±2.5枚,术后病理检查,10例患者为阳性,术后回肠造瘘平均排气时间3.6±1.0天,尿管平均留置时间3.5±0.5天,术后切口无并发症,患者住院时间15.2±3.5天,随访20个月,经临床检查无转移情况,患者肛门功能良好。结论:针对低位直肠癌患者,采用直肠拖出切除吻合术进行治疗,安全可行,适合低位直肠癌的临床保守治疗。
Objective: To investigate the effect of rectal excision and anastomosis in the treatment of low rectal cancer. Methods: The clinical data of 50 patients with rectal cancer who underwent rectal excision and anastomosis from February 2010 to January 2012 in our hospital were selected. The surgical treatment and the recovery of the patients were analyzed. Results: All the 50 cases were successfully performed. The operation time was 205.2 ± 35.6 minutes, the amount of bleeding was 115.4 ± 65.6 minutes and the average number of resected lymph nodes was 15.4 ± 2.5. The postoperative pathological examination was positive in 10 cases and the average postoperative ileostomy Ventilation time 3.6 ± 1.0 days, the average catheter 3.5 ± 0.5 days postoperative incision without complications, patients hospitalized for 15.2 ± 3.5 days, followed up for 20 months, no evidence of clinical metastasis, the patient’s anal function is good. Conclusion: For patients with low rectal cancer, resection and anastomosis by rectum for treatment, safe and feasible, suitable for conservative treatment of low rectal cancer.