低位直肠癌保肛术与Miles术的远期疗效比较

目的:比较低位直肠癌保肛术与Miles术的远期疗效。方法:对1994～1998年71例距肛缘5～7cm的低位直肠癌进行回顾性分析。保肛手术组34例,Miles术组37例。结果:保肛组2年局部复发3例(3/34),2年和5年生存率分别为82.4%及61.8%。Miles组局部复发4例(4/37),2年和5年生存率分别为81.1%及56.8%。两组比较均无显著差异(P>0.05)。结论:对距肛缘5～7cm的低位直肠癌可行保肛手术,提高生活质量。

Comparison of Long Effects between Sphincter-saving Operation and Miles Operation in the Treatment of Low Rectal Carcinoma

Objective:To Compare the long effects between sphincter saving operation and Miles operation in the treatment of low rectal carcinoma. Methods: From 1994 to 1998, 71cases with rectal carcinoma situated 5-7cm from the anus were aualyzed retrospectively. 34cases underwent sphincter_saving operation and 37cases underwent Miles operation, Results: The two-year local recurrence of sphincter-saving operation group and Miles operation group were 3/34 and 4/37. The differenes of 2-year and 5-year survived rate between sphincter-saving group and Miles group was not significant, (82.4% vs81.1%, 61.8% vs 56.8%, P>0.05), Conclusion: The sphincter-saving operation should be feasible in rectal carcinoma situated 5-7cm from the anas and improve life quality.