局部切除术在早期直肠癌治疗中的应用

目的探讨局部切除术在早期直肠癌治疗中的临床应用价值。方法回顾性分析117例早期直肠癌患者的临床资料，其中局部切除75例，根治术42例，比较两种术式的术后并发症和预后（5年生存率）情况。结果局部切除组术后并发症发生率5．3％，5年生存率85．3％；根治组术后并发症发生率16．7％，5年生存率90．5％。两种术式的5年生存率比较差异无统计学意义（P〉0．05），术后并发症发生率局部切除组明显低于根治组（P〈0．05）。结论局部切除术治疗早期直肠癌，方法简单可靠，并发症少，能提高患者术后生存质量。严格选择合适病例是治疗的关键。

Application of local resection for the treatment of early rectal cancer

Objective To investigate the value of clinical application in local resection for the treatment of early rectal cancer. Methods One hundred and seventeen patients with early rectal cancer were divided into two groups： local resection group （ patients underwent local resection, n = 75） and radical resection group （ patients underwent radical resec- tion, n =42）, prognosis and the rate of postoperative complications were compared with each other. Results The rate of postoperative complications in local resec - tion group was 5.3% , significantly lower than that in radical resection group （ 16.7% ） （ P 〈 0.05 ）. The 5 years＇ survival rate were 85.3% for local resection group and 90.5% for radical resection, there was no difference between the two groups（ P 〉 0.05）. Conclusions The local resection in early rectal cancer is simple and feasible, the rate of postoperative complications is low, the postoperative survival quality is better. And carefully considering indication for local excision in early rectal cancer is critical.