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目的探讨全直肠系膜切除术治疗直肠癌的临床效果。方法选择2008年1月—2013年1月收治的104例中低位直肠癌患者,分为二组,观察组采用全直肠系膜切除术治疗,对照组采用传统手术方法治疗,观察二组术中出血量、手术时间、住院时间、吻合漏、局部复发,术后感染及5年生存率。结果观察组术中出血量、手术时间、局部复发、术后感染及5年生存率与对照组比较,差异有统计学意义(P<0.05)。结论全直肠系膜切除术治疗直肠癌,术中出血量少,手术时间短,可明显降低肿瘤复发,提高患者生存率,改善生活质量。
Objective To investigate the clinical effect of total mesorectal excision in the treatment of rectal cancer. Methods A total of 104 patients with low and middle rectal cancer who were admitted to our hospital from January 2008 to January 2013 were divided into two groups. The observation group was treated with total mesorectal excision. The control group was treated by traditional surgical methods. The bleeding in the two groups Volume, operation time, hospital stay, anastomotic leakage, local recurrence, postoperative infection and 5-year survival rate. Results The intraoperative blood loss, operation time, local recurrence, postoperative infection and 5-year survival rate in the observation group were significantly different from those in the control group (P <0.05). Conclusion Total mesorectal excision for the treatment of rectal cancer, less blood loss, short operative time, can significantly reduce tumor recurrence, improve patient survival and improve quality of life.