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Mason手术治疗老年直肠癌23例
引用本文:王希水,韩艳梅,江志勇,赵守和,陈强谱,齐春生.Mason手术治疗老年直肠癌23例[J].中华全科医师杂志,2008,7(1):57-58.
作者姓名:王希水  韩艳梅  江志勇  赵守和  陈强谱  齐春生
作者单位:1. 山东省滨州市第二人民医院普外科,256651
2. 滨州医学院附属医院腹部外科
摘    要:对23例行经肛门括约肌局部切除的老年直肠癌患者的临床资料进行回顾性分析。随访3-7年,随访率100%。肛门功能正常及良好18例(78%),无大便失禁者。术后3年生存率83%(19/23),5年生存率78%(18/23)。提示,经肛门括约肌直肠癌局部切除,对于老年早、中期中下段直肠癌患者安全、可行。

关 键 词:肛门肿瘤  消化系统外科手术
收稿时间:2007-04-25

A report of 23 cases of middle and lOW rectal carcinoma in the elderly treated with trans-sphincteric local resection(Mason's operation)
WANG Xi-shui,HAN Yan-mei,JIANG Zhi-yong,ZHAO Shou-he,CHEN Qiang-pu,QI Chun-sheng.A report of 23 cases of middle and lOW rectal carcinoma in the elderly treated with trans-sphincteric local resection(Mason''s operation)[J].Chinese JOurnal of General Practitioners,2008,7(1):57-58.
Authors:WANG Xi-shui  HAN Yan-mei  JIANG Zhi-yong  ZHAO Shou-he  CHEN Qiang-pu  QI Chun-sheng
Institution:WANG Xi-shui, HAN Yan-mei, JIANG Zhi-yong, ZHAO Shou-he, CHEN Qiang-pu, QI Chun-sheng( Department of General Surgery, Binzhou Second Hospital, Binzho 256651, China)
Abstract:Clinical data of 23 elderly patients with rectal cancer undergoing trans-sphincteric local resection(TSLR, Mason's operation)were retrospectively analyzed. All the 23 patients were followed-up for three to seven years after operation, 18 with normal or good fecal continence(78%), five just in fair condition(22%)and none in fecal incontinence. Three-year survival was 83 percent(19/23)and 5-year survival was 78 percent(18/23)for them. It is suggested that TSLR is a safe, feasible and effective treatment for middle and low rectal cancer in the elderly with a long term survival and satisfactory quality of life.
Keywords:Anus neoplasms  Digestive system surgical procedures
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