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目的探讨直肠癌全直肠系膜切除法在直肠癌中的应用。方法回顾性分析107例直肠癌患者行全直肠系膜切除的临床资料。本组病例行Miles术式18例;Dixon术式89例,其中76例使用吻合器吻合。结果全组术中出血100-150ml,术中术后均无输血。术后发生吻合口瘘3例,占2.8%。性功能障碍1例,占0.93%。排尿功能障碍1例,占0.93%。术口感染12例,占11.21%。随访6-42个月,局部复发率4.67%(5/107)。结论直肠癌全直肠系膜切除术,对提高直肠癌术后患者生存质量和生活质量确有裨益。
Objective To investigate the application of total mesorectal excision of rectal cancer in rectal cancer. Methods Retrospective analysis of 107 cases of rectal cancer patients undergoing total mesorectal excision clinical data. The patients in this group were treated with Miles technique in 18 cases and Dixon technique in 89 cases, of which 76 were anastomosed. Results The whole group of intraoperative bleeding 100-150ml, intraoperative and postoperative no blood transfusion. Anastomotic fistula occurred in 3 cases, accounting for 2.8%. 1 case of sexual dysfunction, accounting for 0.93%. Urine dysfunction in 1 case, accounting for 0.93%. Surgery infection in 12 cases, accounting for 11.21%. Follow-up 6-42 months, the local recurrence rate was 4.67% (5/107). Conclusion The total mesorectal excision of rectal cancer is helpful to improve the quality of life and quality of life of postoperative patients with rectal cancer.