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目的初步探讨肛肠外科临床上对于直肠癌患者实施全直肠系膜切除术(TME)的临床效果,以期为直肠癌患者的临床治疗提供借鉴。方法 74例直肠癌患者随机分为研究组和对照组,每组37例。研究组实施全直肠系膜切除术进行治疗,对照组则采用常规的外科手术进行治疗,比较两组疗效。结果对照组患者的手术时间、住院时间分别为(159.4±12.5)min、(14.7±0.5)d,研究组患者的手术时间、住院时间分别为(116.9±10.6)min、(12.4±0.6)d,两组比较差异均具有统计学意义(P<0.05);观察组患者术中出血量为(102.4±14.9)ml,对照组患者术中出血量为(217.0±19.6)ml,两组比较差异具有统计学意义(P<0.01);研究组患者术后并发症发生率为8.11%(3/37),对照组患者术后并发症发生率为18.92%(7/37),两组比较差异具有统计学意义(P<0.05)。结论肛肠外科临床上对于直肠癌患者采用全直肠系膜切除术进行治疗效果显著,能显著缩短患者的手术时间以及住院时间,减轻患者家庭负担,并且患者术后恢复较快并发症较少,因此值得临床推广使用。
Objective To investigate the clinical effect of total mesorectal excision (TME) in patients with rectal cancer in clinical practice of anorectal surgery in order to provide reference for the clinical treatment of patients with rectal cancer. Methods 74 patients with rectal cancer were randomly divided into study group and control group, 37 cases in each group. The study group was treated by total mesorectal excision, while the control group was treated by conventional surgery. The curative effect was compared between the two groups. Results The operation time and hospital stay of the control group were (159.4 ± 12.5) min and (14.7 ± 0.5) d respectively. The operation time and hospital stay of the study group were (116.9 ± 10.6) min and (12.4 ± 0.6) d , The difference between the two groups was statistically significant (P <0.05); the bleeding volume in the observation group was (102.4 ± 14.9) ml and that in the control group was (217.0 ± 19.6) ml, the differences between the two groups were statistically significant (P <0.01). The postoperative complication rate was 8.11% (3/37) in the study group and 18.92% (7/37) in the control group. There was significant difference between the two groups Statistically significant (P <0.05). Conclusion Anorectal surgery clinical treatment of patients with rectal cancer with total mesorectal excision was significantly effective, can significantly reduce the patient’s operation time and hospital stay, reduce the burden on patients with family, and patients with less postoperative recovery complications, it is worth Clinical use.