【摘要】 目的:探讨全直肠系膜切除术(total mesorrectal excision,TME)在中、低位直肠癌手术中的应用效果。方法:43例直肠癌患者,其肿瘤距肛缘均在10 cm以内。21例应用传统手术方法治疗(传统组),22例应用TME治疗(TME组)。对2组患者的平均手术时间、术中失血量、住院天数、吻合口瘘、排尿、性功能及局部复发率进行比较。结果:2组平均手术时间、术中失血量、局部复发率、泌尿功能障碍、性功能障碍差异均有统计学意义(P<0.05～P<0.01)。住院天数、吻合口瘘、1年生存率、2年生存率差异无统计学意义(P>0.05)。结论:应用TME治疗中、低位直肠癌手术时间短,出血少,并发症少,局部复发率低,是治疗中、低位直肠癌的首选术式。更多还原

【Abstract】 Objective:To evaluate the efficacy of total mesorectal excision(TME) in the middle and low rectal cancer surgery.Methods:Forty-three cases of rectal cancer,tumor from the anal margin were less than 10 cm.Among these 43 cases,21 cases were application in traditional surgical treatment(traditional group) and 22 cases with application in TME treatment(TME group).For these patients in the two groups,the average operative time,intraoperative blood loss,hospitalization days,anastomotic leakage,urination,sexual function and local recurrence rate were compared.Results:In TME group,the average operation time,average blood loss,local recurrence rate,urinary dysfunction,and sexual dysfunction were statistical significances in contrast to in traditional group(P<0.05 to P<0.01).While the hospitalization days,anastomotic leakage and one year survival rate had no statistical significance(P>0.05).Conclusions:TME has so many advantages with short surgery time,less bleeding,fewer complications and low local recurrence rate,it is one of the best treatment for middle and low rectal cancer therapy.更多还原