改良式经内外括约肌间切除术在超低位直肠癌治疗中的应用.pdfVIP

白求恩军医学院学报 2013年6月第 11卷第 3期 JournalofBethuneMilitaryMedicalCollege，Vo1．11，No．3。June，2013 ·223 · 改 良式经 内外括约肌间切除术在超低位直肠癌 治疗中的应用 朱茂才，杨进华，卢志坤，梁鹤誉 [摘要] 目的 分析改良式经内外括约肌间切除术治疗超低位直肠癌的临床效果。方法 96例超低位直肠癌患者按手 术方式不同分为两组，各48例。对照组采用传统经内外括约肌间切除术，观察组采用改 良式经内外括约肌间切除术，观察对 比两组患者术后并发症发生率，术后3个月、6个月及 12个月肛门功能满意率及肛门失禁评分情况。结果 两组患者术后并 发症发生率无显著差异(P0．05)；观察组术后3个月肛门功能满意率高于对照组(P0．05)，术后6个月和 12个月肛门 功能满意率两组均无显著差异(P0．05)；观察组术后3个月和6个月肛门失禁评分均低于对照组(P0．01)，两组术后l2 个月肛门失禁评分无显著差异(P0．05)。结论 改 良式经内外括约肌间切除术治疗超低位直肠癌，能提高术后3个月的 肛门功能满意率 ，降低术后3个月和6个月肛门失禁评分 ，且不增加并发症发生率，值得临床推广应用。 [关键词] 超低位直肠癌；经内外括约肌间切除术；改良 [中国图书资料分类号] R735．37 [文献标志码] A [文章编号] 1672—2876(2013)03—0223—02 Modifiedintersphinctericresectionin thesphincter-savingprocdeureforultra-low rectum cancer ZHUMaocai，YANGJinhua，LUZhikun，eta1．DepartmentofGeneralSurgeries，XindongTownHospital，Gaozhou，Guangdong 525245， China [Abstract] Objective ToanalyzetheapplicationvalueofModifiedintersphinctericresectioninthesphincter—savingprocedure forultra-low rectum cancer．Methods Ninety—sixpatientswithultra-low rectum cancerweredividedintotwogroupsaccordingtotheir surgicalmethods．Thecontrolgroup(a=48)underwentmodifiedintersphinctericresection．Theobservationgroup(n=48)under- wentintersphinetericresection．Thefollowingparameterswerecompraedandna alyzed：theincidencerateofcomplication，thesatisfac- tionratesofanalfunctionnadfecalincontinencescoreafter3，6and12months．Results Comparedwiththatofthecontrolgroup，the complicationrateoftheobservationrgoupdidnotshowsignificnatchnages(P0．05)．Thesatisfactionratesoftheobservationgroup 3and6monthsaftertreatmentweresignifcantlyhigherthna thatofcontrolrgoup(P0．01)，whilehtesatisfactionrateoftheobserv— tionrgoup12monthsaftertreatmentwasnotsignificantlyhigher(P0．05)．Thefecalincontinencescoreoftheobservationgroupwas sing ificnadylowerthanthatofcontrolgroup，whilethefecalincontinencescoreoftheobservationrgoupdidnot