摘要
低位直肠癌是否行保肛手术的主要依据是病人的全身条件、肿瘤的分化程度、浸润转移的范围以及距齿状线的距离而个体化对待。对于低位直肠癌是否行保肛手术、低位直肠癌保肛手术后是否行结肠贮袋吻合术、直肠癌术前是否新辅助治疗以及是否行腹腔镜低位直肠癌保肛手术,这些方面都需要依据循证医学证据,不能凭个人主观意愿,这样才有助于进一步提高直肠癌的治疗效果。
Whether the anus can be preserved in low rectal carcinoma depends mainly on conditions of the patients , histological grade ,depth of invasion, lymph node metastasis and the distal edge of the tumor from the dentate line. For the low rectal carcinoma whether anus preserving proceduce will be performed , whether J - pouch coloanal anastomosis will be performed after low anterior resection, whether neoadjuvant chemotherapy treatment will he applied individually and whether Laparoscopic - assisted radical rectal excision will be done, all those above shoud base on evidence of evidence - based medicine , can not consistent with subjective desirability , which is expected to further enhance the therapeutic effect of rectal cancer.
出处
《医学与哲学（B）》
2006年第12期53-54,57,共3页
Medicine & Philosophy(B)
关键词
直肠癌
保肛手术
循证医学证据
rectal carcinoma, anus preserving procedure, evidence- based medicine
