| TME治疗中、低位直肠癌的应用 |
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| 引用本文： | 何博华,张伟斌,肖兰凤,王华,李立波. TME治疗中、低位直肠癌的应用[J]. 中国现代医学杂志, 2007, 17(1): 80-82 |
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| 作者姓名： | 何博华 张伟斌 肖兰凤 王华 李立波 |
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| 作者单位： | 1. 广东药学院,外科教研室,广东,广州,510224
2. 广东药学院附属医院,普通外科,广东,广州,510080 |
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| 摘 要： | 目的探讨全直肠系膜切除术(TME)在中、低位直肠癌治疗的应用。方法回顾总结129例行全直肠系膜切除术的中、低位直肠癌病例,分析疗效、局部复发和术后并发症。结果围手术期死亡率1.55%(2/129);5年生存率66.70%(58/87);2年局部复发率6.20%(8/129);发生吻合口瘘和吻合口狭窄分别为12例(9.30%)和10例(7.75%)。结论全直肠系膜切除术可有效降低局部复发率,减少术后并发症,可提高病人生活质量和生存率,是治疗中、低位直肠癌的理想手术。
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| 关 键 词： | 直肠癌 全直肠系膜切除术 局部复发 吻合口瘘 吻合口狭窄 |
| 文章编号： | 1005-8982（2007）01-0080-03 |
| 收稿时间： | 2006-04-29 |
| 修稿时间： | 2006-04-29 |
Application of TME for middle and low rectal cancer |
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| HE Bo-hua,ZHANG Wei-bing,XIAO Lan-feng,WANG Hua,LI Li-bo. Application of TME for middle and low rectal cancer[J]. China Journal of Modern Medicine, 2007, 17(1): 80-82 |
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| Authors: | HE Bo-hua ZHANG Wei-bing XIAO Lan-feng WANG Hua LI Li-bo |
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| Affiliation: | 1.Department of Surgery, Guangdong Pharmacy University, Guangzhou, Guangdong 510224,P.R. China; 2.Department of General Surgery, the Affiliated Hospital of Guangdong Pharmacy University, Guangzhou, Guangdong 510080, P.R. China |
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| Abstract: | [Objective] To investigate the application of total mesorectal excision (TME) for middle and low rectal cancer. [Methods] The clinical data of 129 cases with middle and low rectal cancer treated by TME were retrospectively analyzed including the therapeutic effect, local recurrence, and complications. [Results] Perioperative death rate was 1.55% (2/129); 5-year survival rate was 66.70% (58/87); 2-year local recurrence rate was 6.20% (8/129). The cases with anastomotic leakage and anastomotic constriction was 12 (9.30%) and 10 (7.75%) respectively. [Conclusion] Total mesorectal excision is a perfect operation for middle and low rectal cancer to reduce local recurrence, decrease postoperative complications, and improve postoperative quality of life of the patients and survival rate. |
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| Keywords: | rectal cancer total mesorectal excision (TME) local recurrence anastomotic leakage anastomotic constriction |
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