| 陈 涛,吴 适,周 鹏.结直肠侧端吻合改善低位直肠癌前切除术后排便功能[J].肿瘤学杂志,2013,19(6):480-483. |
| 结直肠侧端吻合改善低位直肠癌前切除术后排便功能 |
| Colorectal Side-to-end Anastomosis Improving Postoperative Bowel Function in Patients with Low Rectal Cancer After Anterior Resection |
| 投稿时间：2013-01-23 |
| DOI：10.11735/j.issn.1671-170X.2013.6.B015 |
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| 中文关键词: 直肠肿瘤 侧端吻合 大便失禁 保肛手术 |
| 英文关键词:rectal neoplasms side-to-end anastomosis fecal incontinence anus preserving operation |
| 基金项目:2009年度金华市科技局科研项目 |
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| 中文摘要: |
| 摘 要：［目的］ 评价侧端吻合术改善低位直肠癌前切除术后排便功能。［方法］ 对低位直肠癌前切除保肛术病例60例，行结肠—直肠（或肛管）侧端吻合术与结肠—直肠（或肛管）端端吻合术重建消化道各30例，于术后6个月及12个月评价排便功能。［结果］ 侧端吻合组发生术后并发症7例，端端吻合组发生术后并发症共8例，两组术后并发症发生率无统计学差异（?字2=0.089，P=0.766）。术后6个月时，侧端吻合组大便Ⅰ度失禁发生率为10.0%，明显少于端端组的30.0%（?字2=4.320，P=0.038）。侧端吻合组里急后重发生率为26.7%，明显少于端端组的60.0%（?字2=6.687，P=0.009）。侧端吻合组控便满意率为83.3%，明显好于端端组的60.0%（?字2=4.022，P=0.045）。两组患者在术后12个月控便能力均恢复正常。［结论］侧端吻合术并不增加术后并发症，而且改善近期术后排便功能效果。 |
| 英文摘要: |
| Abstract:［Purpose］ To evaluate the bowel function in low rectal cancer patients with side-to-end anastomosis after anterior resection. ［Methods］ Sixty cases with low rectal cancer with anus preserving operation of anterior resection were divided into two groups: 30 cases underwent colorectal or coloanal side-to-end anastomosis，and 30 cases underwent colorectal or coloanal end-to-end anastomosis. Bowel function were assessed at 6 and 12months postoperation. ［Results］ Postoperative complications developed in 7 cases in side-to-end anastomosis group and 8 cases in end-to-end anastomosis group without significant difference between them (?字2= 0.089，P=0.766). At 6 months postoperation，fecal incontinence grade I was 10.0% in side-to-end anastomosis group，which was significantly less than that in end-to-end group(30.0%) (?字2= 4.320，P=0.038). Tenesmus in side-to-end anastomosis group（26.7%）was significantly less than that in end-to-end group(60.0%)( ?字2=6.687，P=0.009). Satisfaction rate of fecal control in side-to-end anastomosis group was 83.3%，which was significantly better than that in end-to-end group(60.0%)(?字2=4.022，P=0.045). All the patients in the two groups recovered to normal fecal control 12 months postoperation. ［Conclusion］ Side-to-end anastomosis can improve the postoperative bowel function without increasing postoperative complications for patients with low rectal cancer. |
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