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目的 :探讨对直肠癌外科手术术式选择的问题 ,以进一步提高手术效果 ,减少局部复发率。方法 :对70例直肠癌采取不同术式的根治手术的病例进行临床分析。结果 :本组外科手术治疗 5年生存率 5 2 2 % ,但采用经腹会阴联合手术 (Miles手术 )比采用保留肛门技术的术式 (Dixon手术 ,Bacon手术 )局部复发率低 ,两者差异有显著意义。结论 :对直肠癌外科手术治疗的术式选择必须结合病人实际 ,术前对癌肿生物病理因素进行分析 ,以根治术为原则 ,提高治愈率为前提
Objective: To explore the choice of surgery for rectal cancer surgery to further improve the effect of surgery and reduce the local recurrence rate. Methods : Clinical analysis was performed on 70 cases of rectal cancer undergoing radical surgery with different surgical methods. RESULTS: The 5-year survival rate of surgical treatment in this group was 52.2%, but the rate of local recurrence was lower in patients undergoing transabdominal perineal surgery (Miles operation) than in anal retention technique (Dixon operation, Bacon surgery). There is significant significance. Conclusion: The choice of surgery for surgical treatment of rectal cancer must be combined with the actual condition of the patient. The biopathological factors of the cancer should be analyzed before surgery. The principle of radical surgery is to improve the cure rate.