低位直肠癌保肛术对老年直肠癌患者的疗效评价.docVIP

低位直肠癌保肛手术对老年直肠癌患者的疗效评价 杨国来 （霍山县医院??安徽??霍山?） 【摘要】目的：探讨低位直肠癌保肛手术治疗老年直肠癌的临床疗效。方法：选取我院2004年7月~2009年7月期间我院收治的老年直肠癌患者40例为研究对象，根据治疗方式的不同分为对照组和观察组，对照组患者行非保肛手术，观察组患者行保肛手术，比较两组患者临床治疗效果。结果：观察组患者术后1年、3年、5年生存率与复发率及远处转移率与对照组患者相比没有显著差异，但是观察组患者的生存质量明显高于对照组患者，p＜0.05，差异具有统计学意义。结论：低位直肠癌保肛手术治疗老年直肠癌，既能提高患者的生活质量，又不影响生存率和复发率，值得在临床实践中广泛的推广和应用。 【关键词】低位直肠癌；保肛手术；老年；疗效 [Abstract] Objective: To investigate the clinical efficacy of low rectal cancer operation in treatment of elderly patients with rectal cancer. Methods: the elderly patients with colorectal cancer in our hospital from 2004 July during ~2009 July in our hospital 40 cases as the research object, according to the different methods of treatment for the control group and the observation group, the control group were treated with non anus preserving operation, the observation group of patients with rectal operation, compared two groups of patients with clinical curative effect. Results: the patients in the observation group after 1 years, 3 years, 5 years survival rate and local recurrence rate and distant metastasis rate compared with the control group patients were not significantly different, but the quality of life of patients was significantly higher than that in control group, P 0.05, the difference was statistically significant. Conclusion: the treatment of rectal cancer in the elderly rectal cancer operation, not only can improve the quality of life of patients, and does not affect the survival and recurrence rate, worthy of extensive promotion and application in clinical practice. [keyword] anus preserving operation for low rectal cancer; elderly; curative effect; ? ??直肠癌是指从齿状线至直肠乙状结肠交界处之间的癌，是消化道最常见的恶性肿瘤之一，我国直肠癌发病年龄在45岁左右，青年人发病率有升高的趋势[1]。直肠癌位置低，容易被直肠指诊及乙状结肠镜诊断。但因其位置深入盆腔，解剖关系复杂，手术不易彻底，术后复发率高,中下段直肠癌与肛管括约肌接近，手术时很难保留肛门及其功能是手术的一个难题，也是手术方法上争论最多的一种疾病[2]。随着对直肠癌研究的不断推进和外科手术技术的不断发展和成熟，保肛手术成为越来越多的医师和患者的追求目标。近年来，我院对直肠癌患者行保肛手术，疗效显著，现将其报道如下。 1资料与方法 1.1一般资料 选取2004年7月~2009年7月我院收治的40例老年直肠癌患者为研究对象，按照治疗方法的不同分为对照组与观察组，每组20例。对照组男性14例，女性6例，年龄62~8