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目的 :探讨直肠系膜全切除与阴道切除在降低女性低位直肠癌局部复发中的价值。方法 :回顾性总结 43例女性 DukesB- C期低位直肠癌病例 ,其中 2 2例按 TME原则行直肠癌根治术 (含阴道全部或后壁切除 ) ,2 1例按传统直肠癌根治术 (未切除阴道 )。结果 :TME组 2 2例术后 2年内局部复发率为 4.5 5 % (1/2 2 ) ,阴道后壁肌层癌组织检出率 5 0 % (11/2 2 ) ,直肠系膜有癌率 6 3.6 4% (14/2 2 )。传统组 2 1例术后 2年内局部复发率为 2 3.6 7% (5 /2 1) ,直肠系膜有癌率 38.10 % (8/2 1)。结论 :TME加阴道切除能降低女性 Dukes B- C期低位直肠癌患者的局部复发率。
Objective: To investigate the value of total mesorectal excision and vaginal resection in reducing the local recurrence of low rectal cancer in women. Methods: 43 cases of Dukes B- C stage low rectal cancer were retrospectively reviewed. Among them, 22 cases underwent radical resection of rectal cancer (including total vaginal or posterior wall resection) according to TME principles, and 21 cases underwent radical resection of conventional rectal cancer. Remove the vagina). RESULTS: The local recurrence rate in the TME group was 4.55% (1/2 2) within 2 years after operation, and 50% (11/2 2) of myometrial tissue in the posterior wall of the vagina. Mesangial cancer rate was observed. 6 3.6 4% (14/2 2 ). In the traditional group, the local recurrence rate was 23.67% (5/21) within 2 years and 38.100% (8/21%) in the mesorectum. Conclusion: TME plus vaginal resection can reduce the local recurrence rate of women with Dukes B-C stage low rectal cancer.