影响低位直肠癌手术方式选择的指征分析

目的分析研究低位直肠癌局部切除术式选择的影响因素。方法回顾低位直肠癌局部切除治疗67例患者资料，并分析其预后。结果经肛门切除61例，经骶骨切除5例，经阴道切除1例，全组无手术死亡病例，5年生存率为89．6％。肿瘤的侵袭深度、直径〉3cm、溃疡型癌和局部是否复发与预后有关（P〈0．05）。结论低位直肠癌病理为高中分化、直径≤3cm的病变及原位癌，是局部切除术的面靠指征。

Selection Reason of Local Excision for Low Rectal Cancer

Objective To analyse selection reason of local excision for low rectal cancer.Methods Retrospectively analyzed 67 patients with low rectal cancer treated by local excision.Results 61 patients underwent transanal excision,5 patients had transsacral excision,1 recieved transvaginal excision.No death occurred,5-year survival rate was 89.6% for the whole group.Univariate analysis revealed that pathological T stage,tumor size(>3cm),lymphovascular invasion,ulcerative lesion and local recurrence were significant f...