【摘要】 目的为了寻找影响直肠癌腹会阴切除术疗效的因素和探索提高术后生存率的途径。方法回顾分析我院1964～1994年804例直肠癌腹会阴切除术后的远期效果。结果全组手术死亡率为0.7％,随访率98.8％。术后5、10、15、20、25年生存率分别为53.2％、44.5％、43.1％、42.3％和40.5％。结论直肠癌腹会阴切除术后生存率与年龄、肿瘤大小、大体类型、术前并发症、淋巴结转移、病期等有关。其中,淋巴结转移和病期是最主要因素。更多还原

【Abstract】 Objective To find out the factors affecting results of abdominoperineal resection for rectal cancer and explore the ways to improve postoperative survival rate.Method This paper analysed the long- term results in 804 patients with metal cancer after abdominopemeal resection in our hospital from April 1964 to Aprill 1994.Results The operative mortatity was 0.7% (6/804 cases).All patients were followed up for 2～32 years with the follow-up rate of 98.8%.In the group the 5-,10-,15-,20-,25 - year survival rates after abdominoperineal resection were 53.2%,44.5%,43.1%,42.3% and 40.5% respec- tively.Conclusions The study showed that the postoperative survival rates of abdominoperineal resection for rectal cancer related to age,tumor size,gross type,preoperative complication,lymph node metastasis and stage.Among the all related factors,lymph node metastasis and stage were the most important factors.更多还原