中西医结合疗法改善低位直肠癌完全经肛门括约肌间切除术后患者肛门功能的临床研究

目的:探讨中西医结合疗法在加速低位直肠癌完全经肛门括约肌间切除术(ISR)切除术后肛门功能恢复中的作用.方法:回顾性分析2016年1月—2019年1月大连大学附属中山医院胃肠外科收治的43例低位直肠癌接受完全ISR切除手术患者的临床资料,对照组21例,治疗组22例.所有患者严格遵守直肠全系膜切除术(TME)原则行完全I...

Clinical Study in the Effect of the Combined Therapy of Traditional Chinese Medicine and Western Medicine on the Improvement of Anal Function in Patients with Low Rectal Cancer after ISR

Objective To investigate the effect of combined therapy of traditional Chinese medicine and western medicine in improving anal function recovery after ISR resection for low rectal cancer.Methods We retrospectively analyzed the clinical data of 43 patients with low rectal cancer treated by gastrointestinal surgery department of affiliated Zhongshan hospital of Dalian university from January 2016 to January 2019.They all accepted complete ISR resection following TME principles,including 21 patients in the control group and 22 patients in the treatment group.The control group received lifestyle intervention(smoking cessation,exercise),dietary adjustment,anal levator exercise,oral loperamide treatment,while the treatment group received acupuncture treatment,oral traditional Chinese medicine treatment and traditional Chinese medicine bath on the basis of the control group.The postoperative recovery of anal function was evaluated by Williams standard and Wexner scoring system.The two groups of patients were followed up continuously for 12 months after the operation.Results In the Williams evaluation system,the anus functions at 1,3,6 and 12 months after operation were better in the treatment group than those in the control group,with the positive statistical significance at 3 months after operation(P=0.044).No statistical significance could be found at 1,6 and 12 months after operation(P>0.05).Wexner scoring system showed that the anal incontinence in the treatment group was better than that of the control group at 1,3 and 6 months after surgery(P<0.05).Conclusion The combined therapy of traditional Chinese medicine and western medicine can accelerate the recovery of postoperative anal function and reduce the incidence of postoperative anal incontinence.