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目的 探讨早期直肠癌局部切除术的临床应用价值。方法 分析本组 87例早期直肠癌患者分别行局部切除 (5 6例 )或根治术 (31例 )的疗效 (5年及 10年生存率 ) ,并观察两种术式的术后并发症的出现率。结果 行局部切除术患者的 5年、10年生存率分别为 94 6 %和 89 3%;而行根治术患者的 5年、10年生存率分别为 96 8%和 93 5 %。两种术式的 5年和 10年生存率比较 ,差异无显著性 (χ2 =0 0 0 6 ,P >0 0 5 ;χ2 =0 0 74,P >0 0 5 )。且局部切除术的术后并发症的发生率 (3 5 7%)明显低于根治术 (2 5 8%,χ2 =7 6 3,P <0 0 5 )。结论 对早期直肠癌行局部切除术 ,方法简单易行 ,术后并发症少 ,能提高患者术后生存质量。
Objective To investigate the clinical value of partial resection of early rectal cancer. Methods The curative effect (5 years and 10 years survival rate) of partial resection (56 cases) or radical operation (31 cases) in 87 patients with early rectal cancer were analyzed. The postoperative complications Occurrence rate. Results The 5-year and 10-year survival rates were 94.6% and 89.3% respectively in patients who underwent local excision. The 5-year and 10-year survival rates were 96.8% and 93.5% in patients undergoing radical operation. There was no significant difference in 5-year and 10-year survival rates between the two procedures (χ2 = 0 0 0 6, P 0 05; χ 2 = 0 0 74, P 0 05). The incidence of postoperative complications of local excision (35.7%) was significantly lower than that of radical operation (25.8%, χ2 = 7 6 3, P 0 05). Conclusion Local resection for early rectal cancer is simple and easy to operate with less postoperative complications and can improve postoperative quality of life.