腹腔镜直肠全系膜切除保肛术治疗中下段直肠癌的临床观察

目的 观察分析腹腔镜直肠全系膜切除保肛术治疗中下段直肠癌的临床效果.方法 选取本院2010年6月～2012年5月收治的68例中下段直肠癌患者的临床资料进行分析,并按患者住院尾号将其分为治疗组（n=34）和对照组（n=34）,比较两组患者的临床疗效.结果 治疗组患者的切口长度、手术时间、术中出血量及排气时间与对照组比较,差异有统计学意义（P＜0.05）;两组患者的保肛率比较差异无统计学意义（P＞0.05）;治疗组患者的并发症发生率（8.82％）显著低于对照组（29.40％）,差异有统计学意义（P＜0.05）.结论 腹腔镜直肠全系膜切除保肛术治疗中下段直肠癌的临床效果显著,可有效改善患者的临床症状.

Clinical observation of laparoscopic total mesorectal excision with preservation of anal sphincter on treating middle or lower rectal cancer

Objective To observe and analyze the clinical emcacy o aparoscoplc wtl lu, preservation of anal sphincter on treating middle or lower rectal cancer. Methods The clinical data from 68 patients with middle or lower recta] cancer admitted into our hospital from June 2010 to May 2012 were selected and analyzed. They were evenly divided into treatment group （n=34） and control group （n：34） according to tail number of admission number in order to compare the clinical efficacy in both groups. Results The length of incision,operation time,intraop- erative amount of bleeding,time of anus exhaust in treatment group cmnpared with the control group,the difference were statistically significant （P〈0.05）.The rate of preservation of anal sphincter of the two groups,the difference was no statis- tically significant （P〉O.OS）.The incidence of complication in treatment group of 8.82% was much lower than that in the control group （29.40%）,the difference was statistically significant （P〈O.05）. Conclusion The clinical effect of laparo- scopic total mesorectal excision with preservation of anal sphincter for the treatment of middle or lower rectal cancer is remarkable,it can effectively improve the clinical symptoms of patients.