| 超低位直肠癌保肛手术后肛门功能的临床对比分析 |
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| 引用本文： | 梁树雄,詹庆华,黄世旺,蔡旌槐,姜海平.超低位直肠癌保肛手术后肛门功能的临床对比分析[J].暨南大学学报,2011,32(2). |
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| 作者姓名： | 梁树雄 詹庆华 黄世旺 蔡旌槐 姜海平 |
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| 作者单位： | 1. 广东省潮州市潮州医院普外科,广东,潮州,521000
2. 暨南大学,第一附属医院,外科,广东,广州,510630 |
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| 基金项目： | 广东省自然科学基金项目(07005961) |
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| 摘 要： | 目的:探讨超低位直肠癌保留肛门功能的可行性。方法:实验组为超低位直肠癌患者组共32例;对照组为高位直肠癌组共25例;两组均采用全直肠系膜切除术(TME)分离全直肠系膜,后用吻合器技术吻合切缘,术后采用徐忠法肛门功能标准检测肛门功能,并随访3年。结果:随访3年中实验组复发2例(6.25%),对照组复发1例(4.00%);大部分实验组患者术后1个月内控便功能差,优良率37.5%,与对照组优良率64.0%比较存在显著性差异(P=0.047<0.05);但两组在术后3个月(P=0.076)、6个月(P=0.217)、12个月(P=0.856)则无明显差异。结论:对有保肛手术指征的超低位直肠癌患者,保肛手术是可行的,术后患者肛门功能恢复在近期与高位直肠癌保肛手术比较存在差别,长期效果无明显差异。
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| 关 键 词： | 低位直肠癌 保肛手术 肛门功能 |
The clinical analysis of anal function after low or ultralow rectal anastomosis in patients with rectal cancer |
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| LIANG Shu-xiong,ZHAN Qing-hua,HUANG Shi-wang,CAI Jing-huai,JIANG Hai-ping.The clinical analysis of anal function after low or ultralow rectal anastomosis in patients with rectal cancer[J].Journal of Jinan University(Natural Science & Medicine Edition),2011,32(2). |
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| Authors: | LIANG Shu-xiong ZHAN Qing-hua HUANG Shi-wang CAI Jing-huai JIANG Hai-ping |
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| Institution: | LIANG Shu-xiong1,ZHAN Qing-hua1,HUANG Shi-wang1,CAI Jing-huai1,JIANG Hai-ping2(1.Department of Surgery,Chaozhou Hospital,Guangdong Chaozhou 521000,China,2.Deprtment of Surgery,the First Affillated Hospital,Jinan University,Guangzhou 510630,China) |
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| Abstract: | Aim:To investigate the feasibility of low/ ultralow rectal cancer anastomosis to reserve Anal Function.Methods: Experiment group was composed of thirty-two patients with low or utralow rectal cancer.Controlled group was composed of twenty-five patients with rectal cancer.Both group were operated with total mesorectal excision(TME) to sever mesorectum,stapler technique was used to anastomose the incision,inspect Anal Function assessed by XUZHONGFA Anal-Function'S criterion after operation,and follow-up for 3... |
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| Keywords: | low or ultralow rectal cancer sphincter preserving operation of rectal carcinoma anal function |
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