不同直肠拖出式超低位在直肠癌保肛术中的应用价值分析

目的：分析不同直肠拖出式超低位在直肠癌保肛术中的应用价值。方法随机将105例确诊直肠癌患者分组，双吻合器组行双吻合器直肠拖出式，免吻合器组行免吻合器直肠拖出式手术，对比术后控便功能、肛门功能、手术并发症和肿瘤预后情况。结果免吻合器组术后3个月末控便功能优良率60.38%高于双吻合组40.38%（P〈0.05）；免吻合器组术后6个月末控便功能优良率、术后复发情况、生存情况和并发症发生率分别与双吻合器组比较（P〉0.05）。结论免吻合器托出式超低位直肠癌保肛术在保证根治肿瘤和保留肛门功能恢复基础上，快速促进肛门功能恢复效果确切，简单实用，值得临床推广使用。

Application value analysis of different types of rectal drag-out ultra-low position in sphincter preservation surgery of rectal cancer

Objective To analyze the application value of different types of rectal drag-out ultra-low position in the sphincter preservation surgery of rectal cancer. Methods All 105 patients diagnosed with rectal cancer were randomly divided into two groups. The double anastomat group received double anastomat retal drag-out surgery and the anas-tomat-free group received anastomat-free rectal drag-out surgery. The feces control function, anal function, surgical complications and tumor prognosis of the two groups were compared. Results The excellent and good rate of feces con-trol function of the anastomat-free group at the end of 3 months after the surgery was 60.38%, which was higher than the 40.38%of the double anastomat group（P〈0.05）. The excellent and good rate of feces control function, postoperative recurrence situation, survival situation and incidence of complications at the end of 6 months after the surgery of the anastomat-free group were not significantly different from those of the double anastomat group （P〉0.05）. Conclusion The anastomat-free drag-out ultra-low position sphincter preservation surgery of rectal cancer can promote anal func-tion recovery, has accurate efficacy, is simple and practical on the basis of ensuring the radical treatment of tumor and preserving anal function recovery, thereby worthy of clinical promotion and application.