结直肠肛门外科2017，Vol.23Issue(1)：24-27,4.
经肛管内外括约肌间切除术在超低位直肠癌保肛治疗中的应用
Intersphincteric resection in sphincter-sparing surgery for ultra-low rectal cancer
胡学斌1
作者信息
- 1. 武汉市武东医院普外科 湖北武汉430084
- 折叠
摘要
Abstract
Objective To investigate the effect of intersphincteric resection in sphincter-sparing surgery for ultra-low rectal cancer.Methods Forty-seven patients with ultra-low rectal cancer treated in the hospital between December 2013 and April 2015 were selected as study subjects and were randomly assigned treatment group (n=24,treated by intersphincteric resection)and control group (n=23,treated by rectal low anterior resection).The incidence of postoperative complications was recorded.Anal function and incidence of anal incontinence were evaluated at 3,6 and 12 months after surgery.Results The incidence of postoperative complications was similar between the two groups (P ＜ 0.05).The anal function score and anal incontinence scores showed no significant difference before surgery and 12 months after surgery (P ＞ 0.05).The anal function score at 3,6,and 12 months after surgery were significantly lower than that before surgery.The anal incontinence scores at 3,6,and 12 months after surgery were significantly lower than those before surgery,and the decreases in treatment group at 3 and 6 months after surgery were significantly larger than those in control group (P ＜0.05).Conclusion Intersphincteric resection is an effective way to preserve the anal function.关键词
经肛管内外括约肌间切除术/超低位直肠癌/疗效/并发症Key words
intersphincteric resection/ultra-low rectal cancer/efficacy/complication分类
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胡学斌..经肛管内外括约肌间切除术在超低位直肠癌保肛治疗中的应用[J].结直肠肛门外科,2017,23(1):24-27,4.
