结直肠肛门外科2017，Vol.23Issue(3)：273-276,4.
肠系膜下动脉低、高位结扎联合淋巴结廓清治疗直肠癌的疗效观察
Effects of low and high ligation of inferior mesenteric artery combined with lymph node dissection in the treatment of rectal cancer
摘要
Abstract
Objective To study the clinical efficacy of low and high ligation of inferior mesenteric artery combined with lymph node dissection in the treatment of rectal cancer.Methods Sixty patients with rectal cancer were randomly assigned to the treatment group (treated by high ligation of inferior mesenteric artery combined with lymph node dissection)and the control group (treated by high ligation of inferior mesenteric artery).The general situation of surgery,anal function and the incidence of complications after surgery were compared.Results The bleeding volume during surgery,postoperative anal exhaust time and extubation time were significantly less and shorter in the treatment group than those in the control group (P ＜ 0.05).There was no significant difference in the operation time and lymph node dissection between the two groups(P ＞ 0.05).The Wexner scores of the observation group at 1 weeks and 4 weeks after operation were significant lower than those in the control group and before the operation (P ＜ 0.05).There were no significant differences in the incidence of anastomotic leakage,urinary retention,hypoproteinemia,pulmonary infection and incision infection between the two groups(P ＞ 0.05).Conclusion The clinical effects of low and high ligation are similar,but the former ensures better recovery.关键词
直肠癌/肠系膜下动脉/高位结扎/低位结扎Key words
rectal cancer/inferior mesenteric artery/high ligation/low ligation分类
医药卫生引用本文复制引用
郭仁江,李文娟,袁文焕..肠系膜下动脉低、高位结扎联合淋巴结廓清治疗直肠癌的疗效观察[J].结直肠肛门外科,2017,23(3):273-276,4.基金项目
衡水市医学类科技攻关项目,项目编号:2012091644 （）
