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弧形切割吻合器在低位直肠癌手术中的应用
引用本文:韦烨,许剑民,任黎,钟芸诗,朱德祥,牛伟新,秦新裕. 弧形切割吻合器在低位直肠癌手术中的应用[J]. 中华胃肠外科杂志, 2007, 10(Z1)
作者姓名:韦烨  许剑民  任黎  钟芸诗  朱德祥  牛伟新  秦新裕
作者单位:复旦大学附属中山医院普通外科复旦大学上海医学院外科学系复旦大学大肠癌诊治中心,上海,200032
摘    要:目的 探讨弧形切割吻合器在低位直肠癌手术中的应用价值.方法 96例低位直肠癌患者分为两组(每组48例),弧形切割吻合器组用弧形切割吻合器切割关闭远端直肠,对照组使用常规的手术方法 .比较两组保肛率、术后感染率的差异.结果 弧形切割吻合器组保肛率(91.7%)高于对照组(77.1%),两组比较,差异有统计学意义(P<0.01).弧形切割吻合器组术后感染率低于对照组(P<0.05).结论 弧形切割吻合器在低位直肠癌手术中有良好的应用前景.

关 键 词:切割吻合器  低位直肠癌  保肛率

Apptcation of ContourTM in the operation of low rectal cancer
WEI Ye,XU Jiau-min,REN Li,ZONG Yun-shi,ZHU De-xiang,NIU Wei-xin,QIN Xin-yu. Apptcation of ContourTM in the operation of low rectal cancer[J]. Chinese journal of gastrointestinal surgery, 2007, 10(Z1)
Authors:WEI Ye  XU Jiau-min  REN Li  ZONG Yun-shi  ZHU De-xiang  NIU Wei-xin  QIN Xin-yu
Abstract:Objective To evaluate the role of Contour TM in the resection of low rectal cancer.Methods Ninety-six low rectal cancer patients were randomly divided into two groups.In the control group,all patients had a routine procedure.In the Contouflu group,the Contour TM was used to close the distal rectum.All parameters including the anal sphincter preservation rate and infection rate were analyzed and compared.Results Both groups had neady the same results after operation.However,the Contour TM group preserved more anal sphincters(P<0.01),was able to resect lower position tumor (P<0.05)and had a lower infection rate(P<0.05).Conclusion Contour TM has a great potential in the operation of low rectal cancer.
Keywords:Low position rectal tumor  Anal sphincter preservation rate
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