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Affect the low rectal cancer surgery-related factors in anus
Author: Zhu Nai-Dong meters marked with Zhang Yuan Zhang Ruili Lin Chao-Bao-zhi
[Abstract] Objective To analyze the impact of low rectal cancer surgery anus of the relevant factors. Methods 341 cases of low rectal cancer according to whether the purposes of preservation of anal sphincter surgery were divided into APR group and SP group, clinical data of two groups of patients (including the tumor from the anal edge of the lower edge of the distance, patient’s age, sex, BMI) and pathological data (including the tumor circumference, tumor location, tumor generally sub-type, degree of differentiation and Dukes stage) for comparative analysis. Results from the APR the lower edge of tumor was significantly smaller than the distance from anal margin SP group, tumor circumference less than 1 / 2 weeks, 1 / 2 ~ 3 / 4 weeks, more than 3 / 4 weeks and full-Thursday Sphincter preservation rates were followed by decreased (P amp;lt;0.01), for the tumor circumference of less than 1 / 2 weeks by the tumor is located in the posterior wall of the main body, lateral and anterior Sphincter preservation rates were followed by three down, but no significant statistical significance (Pamp;gt; 0.05) . In general classification of tumors, tumor type, ulcer type and infiltrative type in turn decrease the rate of the three preservation of anal sphincter (P amp;lt;0.05), tumor pathology was high, medium, poorly differentiated carcinoma of the three Sphincter preservation rates gradually decreased (P amp;lt;0.01) , and low rectal cancer Dukes A, B, C, D period of four persons Sphincter preservation rates steady decline. Young, male, BMI ≥ 23 patients with the preservation of anal sphincter was significantly lower than in the elderly, women and BMI amp;lt;23 patients (P amp;lt;0.05). Conclusions from the dentate line the lower edge of cancer or anal margin of distance is low rectal cancer surgery anus t
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