摘要
本文介绍了直肠癌淋巴转移规律的研究结果，主张以此规律进行扩大根治手术，并指出了该手术的操作要点及并发症等。结果表明，扩大根治术的五年及十年生存率分别为６８％及４７％，与一般根治术相比，差异具有显著意义。由于扩大根治术充分进行了游离及解剖输尿管、血管，因此没有因手术范围的扩大而增加出血量及输尿管的损伤。但手术范围的扩大造成了术后由于植物神经损伤所至的排尿及性功能障碍的增加，为了减少这种副作用的发生，开展了保存植物神经的扩大根治术，即保证了生存率，又改善了术后生存质量。
Ther results of the rules of lymphy nodes metastasis in rectal carcinoma were introduced in this paper. According with the rules, extendedly radical operation (ERO) and pointed out the main procedures and complication of the operation. The results showed that the 5-years and 10-years survival rates was 68 and 47 percent, resepectively , and had a significant difference when compared to generally radical operation. Because urinary tube and vesseles had been dissected adequately in ERO, it hadn't enlarged bleeding and injuried urinary tube, but exended operation scope could lead to urinary and sexual dysfunction because of automatic nerves injuried. The ERO of preserving automatic nerves could decrease this kind of side-effect and improve survival rates, as well as life qulity of postoperation.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
1995年第5期303-304,306,共3页
Cancer Research on Prevention and Treatment
关键词
直肠肿瘤
根治术
生存率
疗效
rectal carcinoma
extended radical operation
survival rates
