腹腔镜下全直肠系膜切除低位直肠癌保肛手术临床疗效分析.docVIP

腹腔镜下全直肠系膜切除低位直肠癌保肛手术临床疗效分析 　　摘要：目的 分析对低位直肠癌患者采用腹腔镜直肠系膜全切保肛手术进行治疗的临床效果。方法 选取我院2013年10月～2015年10月接诊的患低位直肠癌的60例患者进行研究，按照随机、对照、双盲的原则将其随机分成两组：对照组包含30例患者，施行传统开腹保肛手术进行治疗；研究组包含30例患者，施行腹腔镜直肠系膜全切保肛手术进行治疗。观察及比较两组患者的手术情况与治疗效果。结果 与对照组相比，研究组患者的手术操作时间明显更长，手术出血量明显更少，术后排气时间明显更短，治疗后的优良率明显更高（P0.05）。结论 对低位直肠癌患者采用腹腔镜直肠系膜全切保肛手术进行治疗疗效显著，安全性高，值得进一步推广。 　　关键词：低位直肠癌；腹腔镜；全直肠系膜切除 　　中图分类号：R735.37 文献标识码：A 文章编号：1006-1959（2017）17-0063-02 Clinical Analysis of Laparoscopic Total Mesorectal Excision for Sphincter Preserving Surgery for Low Rectal Cancer 　　WANG Qing-li 　　（Department of General Surgery，Affiliated Hospital of Jiangsu University，Zhenjiang 212001，Jiangsu，China） 　　Abstract：Objective To analyze the clinical effects of laparoscopic total mesorectal excision and anal sphincter preservation for low rectal cancer patients.Methods A total of 60 patients with low rectal cancer admitted to our hospital from October 2013 to October 2015 were selected and randomly divided into two groups according to the principle of randomization，contrast and double blind：the control group consisted of 30 patients who underwent conventional open sphincter preserving surgery.The study group consisted of 30 patients undergoing laparoscopic total mesorectal excision and anal sphincter preservation.The operation condition and treatment effect were observed and compared between two groups.Results Compared with the control group，the operation time was significantly longer in patients of the study group，significantly less perioperative bleeding，postoperative exhaust time was significantly shorter，the excellent rate after treatment was significantly higher（P0.05）.Conclusion The treatment of low rectal cancer with laparoscopic total mesorectal excision and anal sphincter preservation is effective，safe and worthy of further promotion. 　　Key words：Low rectal cancer；Laparoscopy；Total mesorectal excision 　　直肠癌是临床上一种非常常见的消化道肿瘤，临床上主要按照患者的肿瘤分期及部位拟定手术方案[1]。由于低位直肠癌患者术中的操作空间相对较小，吻合较为困难，许多患者需要采用永久人工造口，从而严重影响了患者的日常生活质量[2]。本次研究选取