摘要
目的:探讨超低位直肠癌行腹腔镜拉下式超低位前切除术与腹腔镜双吻合器前切除术对术后排便功能的影响。方法:收集2016年1月至2019年10月在我院接受手术治疗的超低位直肠癌患者158例,其中行腹腔镜拉下式超低位前切除术患者76例(A组),行腹腔镜双吻合器前切除术患者82例(B组)。记录患者治疗前的基线资料及围手术期的主要临床指标;分别于术后3、6、12个月按徐忠法五项十分的标准评价其肛门排便功能。结果:两组患者治疗前的临床基线资料和围手术期的临床指标差异均无统计学意义(P>0.05);A组术后3个月和6个月排便感觉良可率均高于B组(χ^(2)=4.572,P=0.032;χ^(2)=5.961,P=0.015),A组术后12个月的排便感觉良可率与B组相比差异无统计学意义(χ^(2)=0.109,P=0.741);A组术后3个月和6个月肛门控制力良可率均高于B组(χ^(2)=7.618,P=0.006;χ^(2)=9.967,P=0.002),A组术后12个月的肛门控制力良可率与B组相比差异无统计学意义(χ^(2)=0.135,P=0.713);A组术后3个月、6个月和12个月排便次数良可率与B组相比差异无统计学意义(P>0.05)。结论:腹腔镜拉下式直肠超低位前切除术术后半年排便功能优于腹腔镜双吻合器直肠前切除术。
Objective:To investigate the comparison of defecation function between laparoscopic anterior resection of ultra-low rectal cancer and laparoscopic double stapling anterior resection.Methods:A total of 158 patients with ultra-low rectal cancer who underwent surgical treatment in our hospital from January 2016 to October 2019,76 patients with laparoscopic anterior resection(group A),and laparoscopic double stapling before rectum 82 patients with resection(group B);Record the baseline data of patients before treatment and the main clinical indicators of perioperative period;The anal defecation function was evaluated according to Xu Zhong's five tenth criteria at 3 months,6 months and 12 months after operation.Results:There was no statistically significant difference between the clinical baseline data before treatment and the clinical indicators of perioperative period in the two groups of patients(P>0.05);The rate of good defecation at 3 and 6 months after operation in group A was higher than that in group B(χ^(2)=4.572,P=0.032,χ^(2)=5.961,P=0.015),and defecation at 12 months after operation in group A There was no statistically significant difference between the rate and group B(χ^(2)=0.109,P=0.741);The rate of anal control at 3 and 6 months after operation in group A was higher than that in group B(χ^(2)=7.618,P=0.006,χ^(2)=9.967,P=0.002),and anus control at group 12 after operation There was no statistically significant difference between Liliangke and Group B(χ^(2)=0.135,P=0.713);There was no statistically significant difference in the rate of defecation at 3,6 and 12 months after operation in group A compared with group B(P>0.05).Conclusion:The defecating function of laparoscopic anterior resection for half a year after laparoscopic anastomosis is superior to laparoscopic anastomosis with double anastomoses,and it can be used as the first choice for ultra-low rectal cancer.
作者
张军伟
刘众军
卢保华
ZHANG Jun-wei;LIU Zhong-jun;LU Bao-hua(Department of Surgery,Zhoukou City Hospital of Traditional Chinese Medicine,Zhoukou466000,China)
出处
《中国现代普通外科进展》
CAS
2021年第12期949-952,共4页
Chinese Journal of Current Advances in General Surgery
