直肠癌直肠全系膜切除96例临床分析

目的观察直肠癌直肠全系膜切除（TME）的临床效果。方法选择96例行TME手术的直肠癌患者作为观察组,90例实施非TME手术的直肠癌患者作为对照组,观察2组术中出血情况,比较2组3年内患者生存与复发情况及其并发症发生情况。结果观察组术中出血量〈400ml发生率与3年生存率均高于对照组,复发率低于对照组,差异均有统计学意义（P〈0.05）。观察组性功能障碍和泌尿功能障碍发生率低于对照组,差异均有统计学意义（P〈0.05）。结论 TME可明显降低复发率,提高患者生存质量,是直肠癌的首选操作技术。

Clinical analysis of total mesorectal excision of 96 patients with rectal cancer

Objective To observe the clinical effect of total mesorectal excision（TME） .Methods 96 and 90 patients with rectal cancer were classified into observation group and control group,respectively.And the former were treated by TME,the latter by other therapeutic methods.Observed the blood loss during surgery in both groups,and compared their survival rate in 3 years,as well as recurrence and complication.Results The amount of bleeding（less than 400ml） and the survival rate in 3 years of observation group were higher than that in control group,while recurrence rate was lower than control group,these differences had statistical significance（P 0.05） .In observation group,the incidence rate of sexual dysfunction and urinary dysfunction were lower than that in control group（P 0.05） .Conclusion TME can remarkably reduce the recurrence rate and improve the quality of life of patients with rectal cancer.TME is superior to other treatment.