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目的比较全直肠系膜切除术(TME)与传统直肠癌切除术对于直肠癌根治术的临床疗效。方法回顾性分析92例行TME手术(TME组)和54例行传统直肠癌根治术(传统组)直肠癌患者的临床资料。结果TME组患者术后性功能减退(7.8%)、勃起障碍(8.6%)及射精障碍(19%)发生率明显低于传统手术组(30.2%、24.3%和40.5%);TME组女性患者术后阴道疼痛(15.6%)亦明显低于传统手术组(43.8%);TME组的1年局部复发率(14.4%)低于传统手术组(32.1%);两组比较,P<0.05。结论TME直肠癌根治手术临床疗效明显优于传统直肠癌根治术。
Objective To compare the clinical effects of total mesorectal excision (TME) and traditional resection of rectal cancer for radical resection of rectal cancer. Methods The clinical data of 92 patients with TME (TME) and 54 patients with rectal cancer treated by traditional radical mastectomy (traditional group) were retrospectively analyzed. Results The incidence of postoperative erectile dysfunction (7.8%), erectile dysfunction (8.6%) and ejaculation disorder (19%) in TME group were significantly lower than those in the conventional surgery group (30.2%, 24.3% and 40.5% Postoperative vaginal pain (15.6%) was also significantly lower than that of the conventional surgery group (43.8%). The 1-year local recurrence rate (14.4%) in the TME group was significantly lower than that in the conventional surgery group (32.1%). Conclusion The clinical curative effect of TME rectal cancer radical operation is obviously better than that of traditional rectal cancer radical operation.