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目的:评价经肛门外翻双吻合器保肛术治疗低位直肠癌的手术方法及疗效。方法:对经肛门外翻双吻合器保肛术治疗低位直肠癌30例患者的临床资料进行分析。结果:30例低位直肠癌患者均保留肛门。无手术死亡,术后发生切口感染3例,吻合口瘘2例。术后4周能预知和控制排便。术后6个月,每日排便1～4次者25例,5例偶有粪便外溢。随访6～70个月,吻合口狭窄1例,局部复发2例,中位生存期23.5个月,1、3和5年生存率分别为88%、68%和48%。结论:经肛门外翻双吻合器保肛术治疗低位直肠癌具有操作简单、安全等优点,能提高患者生存质量。
Objective: To evaluate the operation and efficacy of anal sphincter preservation anal surgery for low rectal cancer. Methods: Clinical data of 30 patients with low rectal cancer treated with anal anastomosis and double stapler anal sphincter preservation were analyzed. Results: All 30 patients with low rectal cancer retained the anus. No surgical death, incision infection occurred in 3 cases, anastomotic fistula in 2 cases. Four weeks after surgery can predict and control defecation. Six months after operation, 1 to 4 times daily defecation in 25 cases, 5 cases of occasional spillage. The follow-up ranged from 6 to 70 months. One case had anastomotic stenosis and two cases had local recurrence. The median survival time was 23.5 months. The 1,3 and 5-year survival rates were 88%, 68% and 48% respectively. Conclusion: Anus double inverted anastomosis anal sphincter preservation of low rectal cancer has the advantages of simple operation, safety, etc., can improve the quality of life of patients.