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中低位直肠癌患者82例临床手术治疗效果分析
引用本文:张杰,庞志刚.中低位直肠癌患者82例临床手术治疗效果分析[J].中外医疗,2014,0(8):19-20.
作者姓名:张杰  庞志刚
作者单位:张杰 (郑州大学第二附属医院普外科,河南郑州,450014); 庞志刚 (郑州大学第二附属医院普外科,河南郑州,450014);
摘    要:目的探讨分析中低位直肠癌手术临床治疗的方法与治疗效果。方法对于该院从2010年6月-2011年5月实施手术治疗的82例中低位直肠癌患者的临床资料进行进行回顾性的分析。结果全部中低位直肠癌患者中,临床治愈的患者共75例,占91.5%,手术后发生切口感染的患者共9例(11%),吻合口狭窄的患者共5例(6.1%),吻合口漏的患者共3例(3.7%);局部复发的患者共7例(8.5%),都分别是在手术以后的第3~12月内出现复发。经治疗后,共有3例患者(3.7%)出现排尿功能障碍现象,共两例(2.4%)患者出现性功能障碍,没有手术死亡病例发生。结论对于中低位的直肠癌患者,应当依据患者的病理分期与类型来选择最佳的手术方式,保肛术是中低位直肠癌患者治疗的主要手术方式。

关 键 词:直肠肿瘤  中低位  术式选择

Analysis of the Treatment Effect of 82 Cases of Patients with Mid or Low Rectal Cancer Operation
ZHANG Jie,PANG Zhigang.Analysis of the Treatment Effect of 82 Cases of Patients with Mid or Low Rectal Cancer Operation[J].China Foreign Medical Treatment,2014,0(8):19-20.
Authors:ZHANG Jie  PANG Zhigang
Institution:( Department of General Surgery,The Second Affiliated Hospital of Zhengzhou University,Zhengzhou, Henan Province,450014, China)
Abstract:Objective To investigate and analyze the method of the clinical treatment of mid or low rectal cancer operation and treatment effect.Methods The clinical data of 82 patients with mid or low rectal cancer patients underwent operation in our hospital from June,2010 to May,2011 were analyzed retrospectively.Results Of all the patients with mid or low rectal cancer, a total of 75 cases were cured in clinical practice,accounting for 91.5%,wound infection occurred in 9 cases(1 l%)after the operation,anastomotic stenosis occurred in 5 eases(6.1%),anastomotic leakage occurred in 3 patients(3.7%);local recurrence occurred in 7 patients(8.5%)during the third month to the twelfth month after the operation.After the treatment, a total of 3 patients(3.7%)appearod the phenomenon of urinary dysfunction,2 cases of patients(2.4%)had sexual dysfunction, no operation death ease.Conclusion For patients with mid or low rectal cancer, optimal operation mode should be chosen according to the pathological stage and type of the patients, and anus preserving operation is the main mode of operation for the treatment of patients.
Keywords:Rectal tumor  Mid or low  Choice of operation
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