腹腔镜全直肠系膜切除保肛治疗低位直肠癌的临床效果

张战胜，徐东为

（第四军医大学附属唐都医院，陕西 西安，710038）

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摘要：

目的 探讨腹腔镜直肠系膜切除保肛治疗在低位直肠癌中的临床效果，以期为临床治疗提供参考与指导。方法 选择我院2013年4月至2015年9月收治的低位直肠癌患者130例为研究对象，随机分为观察组与对照组，各65例。对照组患者给予开腹直肠系膜切除术治疗；观察组患者给予腹腔镜全直肠系膜切除保肛治疗，比较两组患者的临床疗效。结果 观察组患者的术中出血量、手术时间、胃肠道功能恢复时间及切口愈合时间均明显优于对照组，差异具有统计学意义（P<0.05）。观察组患者并发症发生率为3.1%；对照组患者并发症率为12.3%，观察组患者的并发症发生率明显低于对照组，差异具有统计 学意义（P<0.05）。结论 低位直肠癌患者应用腹腔镜全直肠系膜切除保肛治疗后，可降低患者的并发症发生率，帮助患者尽快的恢复，减少对身体造成的不良影响，提高了患者的预后质量，临床效果显著，值得在临床进行推广应用。

关键词：腹腔镜；保肛；全直肠系膜切除术；直肠癌

中图分类号：R739.4文献标志码：A文章编号：2096-1413(2017)13-0050-02

Clinical effect of laparoscopic versus total mesorectal excision with sphincter-preservation in the

treatment of low rectal cancer
ZHANG Zhan-sheng, XU Dong-wei
(Tangdu Hospital, Xi an 710038, China)

ABSTRACT: Objective To investigate the clinical effect of laparoscopic versus total mesorectal excision with sphincter-preservation in the treatment of low rectal cancer. Methods One hundred and thirty cases of patients with low rectal cancer admitted in our hospital from April 2013 to September 2015 were selected as the study objects. All the patients were divided into observation group and control group, with 65 cases in each group. The control group received open versus total mesorectal excision, and the observation group accepted laparoscopic versus total mesorectal excision with sphincter -preservation. The clinical effects of the two groups were compared. Results The intraoperative blood loss, operation time, gastrointestinal function recovery time and incision healing time of the observation group were better than those of the control group, the differences were statistically significant (P<0.05). The incidence rate of complications of the observation group was 3.1% , which was lower than 12.3% of the control group (P <0.05). Conclusion Laparoscopic versus total mesorectal excision with sphincter-preservation in the treatment of low rectal cancer can reduce the incidence rate of complications, help the patients recovery, reduce the bad influence to the body and improve the prognosis quality. It has significant clinical effect, which is worthy of application and popularization.
KEYWORDS: laparoscopy; sphincter-preservation; total mesorectal excision; rectal cancer

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