【摘要】 目的　探讨经腹直肠前切除保留肛门扩约肌的疗效。方法　 45例直肠癌 ,距肛门 4～ 10cm ,Dukes分类A、B期 ,随机分为 2组 ,保肛组 2 5例 ,Miles组 2 0例。结果　 1年、3年、5年生存率无明显差别。结论　对距肛门 4cm以上者 ,A、B期行经腹直肠前切除保留肛门扩约肌手术较Miles手术更易接受 ,生活质量较高。更多还原

【Abstract】 Objective To evaluate the therapeutic effect of sphincter saving operation with transabdominal antiro rectal excision. Methods In 45 cases of rectal carcinoma, the distance of the low margin of the tumor from the anal verge was 4～10 cm, and according Dukes A and B stage classification were divided randomly into sphincter saving resection and Miles operation group. Results The survival rate in following up for 1, 3 and 5 years was the same in tow groups. Conclusion The sphincter saving resection is liable accept for rectal carcinoma with distance more 4 cm of anal verge from the low margin of tuma.更多还原