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目的对中低位直肠癌直肠全系膜切除术(TME)后不同结肠-肛管吻合方式患者的术后生活质量进行比较。方法回顾性分析43例实施中低位直肠癌直肠全系膜切除术后患者的临床资料。对吻合方式分别采用结肠-肛管直接吻合术(24例),结肠成形-肛管吻合术(19例)。记录术后吻合口情况和术后3个月、12个月时的排便情况。结果术后吻合口漏发生率两组无差异。术后3个月、12个月结肠成形组与直接吻合组比较排便频率明显减少(P=0.000),便急感、失禁发生率亦明显少于直接吻合组(P<0.01、P<0.05)。结论结肠成形吻合术术后生活质量优于结肠-肛管直接吻合术。
Objective To compare the postoperative quality of life of different colon-anal anastomosis patients after rectal total-mesorectal excision (TME) of low and middle rectal cancer. Methods The clinical data of 43 patients with rectal cancer undergoing total mesorectal excision were analyzed retrospectively. The methods of anastomosis were direct colonic-anal anastomosis (24 cases) and colostomy-anal anastomosis (19 cases). Records of anastomotic conditions and postoperative 3 months, 12 months when the defecation. Results There was no difference between the two groups in the incidence of anastomotic leakage after operation. The frequency of defecation was significantly decreased in the colon-forming group compared with the direct anastomosis group at 3 months and 12 months after operation (P = 0.000), and the rate of defecation was significantly less than that of the direct anastomosis group (P <0.01, P <0.05) . Conclusion The postoperative quality of life after colon anastomosis is better than that of colonic-anal anastomosis.